DISCURSO POLÍTICO DE RENÚNCIA: UMA ANÁLISE TEXTUAL / Political speech of resignation: a textual analysis

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Maria Eliete de Queiroz

2016-05-01

Full Text Available RESUMO O presente artigo analisa a estrutura composicional do gênero discurso político de renúncia do senador Antônio Carlos Magalhães (ACM. A teoria da pesquisa pauta-se na Linguística Textual e na Análise Textual dos Discursos – ATD –  em Adam (2011. O procedimento metodológico e analítico volta-se para a forma de constituição das sequências textuais e do plano de texto do discurso de renúncia. Pela análise, observamos que o discurso de renúncia apresenta uma estrutura composicional composta por blocos temáticos diversos que formam as proposições enunciadas no aspecto global do texto. As etapas que seguem o plano de texto obedecem a seguinte ordem: abertura, parte intermediária e encerramento intermediário conclusivo que são construídas pela mesclagem de sequências narrativas, descritivas, explicativas e argumentativas. A sequência argumentativa é a predominante na construção da materialidade textual. Nesse sentido, o discurso de renúncia leva em conta as especificidades do nível textual e apresenta a genericidade complexa de um discurso político de renúncia. Palavras-chave: Discurso político. Estrutura composicional do gênero. Plano de texto. ABSTRACT This paper analizes the compositional structure of the genre political speech of resignation delivered by the Senator Antonio Carlos Magalhães (ACM. The research theory is based on text linguistics and textual analysis of discourses - TAD - in Adam (2011. The methodological and analysis procedures were conducted according to the constitution of textual sequences and the resignation speech text plan. In this analysis, we were able to see that the resignation speech presents a compositional structure made up of several thematic blocks which form the propositions stated in the global  aspect of the text.  The steps which follow the text plan are the following: opening, intermediate part and intermediate closing which are built by blending the narrative

Recognizing Textual Entailment: Challenges in the Portuguese Language

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Gil Rocha

2018-03-01

Full Text Available Recognizing textual entailment comprises the task of determining semantic entailment relations between text fragments. A text fragment entails another text fragment if, from the meaning of the former, one can infer the meaning of the latter. If such relation is bidirectional, then we are in the presence of a paraphrase. Automatically recognizing textual entailment relations captures major semantic inference needs in several natural language processing (NLP applications. As in many NLP tasks, textual entailment corpora for English abound, while the same is not true for more resource-scarce languages such as Portuguese. Exploiting what seems to be the only Portuguese corpus for textual entailment and paraphrases (the ASSIN corpus, in this paper, we address the task of automatically recognizing textual entailment (RTE and paraphrases from text written in the Portuguese language, by employing supervised machine learning techniques. We employ lexical, syntactic and semantic features, and analyze the impact of using semantic-based approaches in the performance of the system. We then try to take advantage of the bi-dialect nature of ASSIN to compensate its limited size. With the same aim, we explore modeling the task of recognizing textual entailment and paraphrases as a binary classification problem by considering the bidirectional nature of paraphrases as entailment relationships. Addressing the task as a multi-class classification problem, we achieve results in line with the winner of the ASSIN Challenge. In addition, we conclude that semantic-based approaches are promising in this task, and that combining data from European and Brazilian Portuguese is less straightforward than it may initially seem. The binary classification modeling of the problem does not seem to bring advantages to the original multi-class model, despite the outstanding results obtained by the binary classifier for recognizing textual entailments.

Dealing with behavioral ambiguity in textual process descriptions

NARCIS (Netherlands)

van der Aa, Han; Leopold, Henrik; Reijers, Hajo A.

2016-01-01

Textual process descriptions are widely used in organizations since they can be created and understood by virtually everyone. The inherent ambiguity of natural language, however, impedes the automated analysis of textual process descriptions. While human readers can use their context knowledge to

Textual Condensation in Printed Dictionaries. A Theoretical Draft ...

African Journals Online (AJOL)

This article presents an excerpt from a theory of lexicographic texts which deals particularly with dictionary articles. Almost all characteristics of dictionary articles considered as typically lexicographic may be regarded as results of textual condensation processes. A theory of textual condensation in lexicography thus makes it ...

Self-plagiarism and textual recycling: legitimate forms of research misconduct.

Science.gov (United States)

Bruton, Samuel V

2014-01-01

The concept of self-plagiarism frequently elicits skepticism and generates confusion in the research ethics literature, and the ethical status of what is often called "textual recycling" is particularly controversial. I argue that, in general, self-plagiarism is unethical because it is deceptive and dishonest. I then distinguish several forms of it and argue against various common rationalizations for textual recycling. I conclude with a discussion of two instances of textual recycling, distinguishing them in terms of their ethical seriousness but concluding that both are ethically problematic.

Beyond Sleep – a case study on textual instability and challenges for textual scholarship

NARCIS (Netherlands)

Kegel, P.W.

2016-01-01

Although W.F. Hermans’ novel Nooit meer slapen (Beyond Sleep) has been published within the multi-volume Complete Works edition already in 2010, the work remains a challenge for textual scholarship. First published in 1966, it has been revised by the author many times. Next to that, the actual

Emotion models for textual emotion classification

Science.gov (United States)

Bruna, O.; Avetisyan, H.; Holub, J.

2016-11-01

This paper deals with textual emotion classification which gained attention in recent years. Emotion classification is used in user experience, product evaluation, national security, and tutoring applications. It attempts to detect the emotional content in the input text and based on different approaches establish what kind of emotional content is present, if any. Textual emotion classification is the most difficult to handle, since it relies mainly on linguistic resources and it introduces many challenges to assignment of text to emotion represented by a proper model. A crucial part of each emotion detector is emotion model. Focus of this paper is to introduce emotion models used for classification. Categorical and dimensional models of emotion are explained and some more advanced approaches are mentioned.

Textual Data Mining Applications in the Service Chain Knowledge Management of e-Government

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Jalal Rezaeenour

2017-03-01

Full Text Available Systems related to knowledge management can improve quality and efficiency of knowledge used for decision making process. Approximately 80 percent of corporate information are in textual data formats. That is why text mining is useful and important in service chain knowledge management. For example, one of the most important applications of text mining is in managing on-line source of digital documents and the analysis of internal documents. This research is based on text-based documents and textual information and interviews processed by Grounded theory. In this research clustering techniques were applied at first step. In the second step, Apriori association rules techniques for discovering and extracting the most useful association rules were applied. In other words, integration of datamining techniques was emphasized to improve the accuracy and precision of classification. Using decision tree technique for classification may result in reducing classification precision. But, the proposed method showed a significant improvement in classification precision.

Técnicas aplicadas al reconocimiento de implicación textual.

OpenAIRE

Herrera, Jesús; Peñas, Anselmo; Verdejo, Felisa

2005-01-01

Tras establecer qué se entiende por implicación textual, se expone la situación actual y el futuro deseable de los sistemas dirigidos a reconocerla. Se realiza una identificación de las técnicas que implementan actualmente los principales sistemas de Reconocimiento de Implicación Textual.

TRANS-TEXTUALIZATION AND CARNIVALIZATION IN "WHISTLER," BY ONDJAKI

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Karine Miranda Campos

2013-04-01

Full Text Available This article aims to observe the phenomenon of carnivalization and trans­textuality the novel The Whistler, the Angolan writer Ondjaki. Comprise the theoretical analysis of Bakhtin’s theory on carnivalization and its im­portance for social subversion of monologic discourse established by of­ficial bodies, the theory of Gérard Genette on transtextuality pointing five possible textual relationships. An understanding of the theories and car­nivalization transtextuality pervades the concepts of animism and taboo presented the theory of Sigmund Freud.

Making sense of "alternative", "complementary", "unconventional" and "integrative" medicine: exploring the terms and meanings through a textual analysis.

Science.gov (United States)

Ng, Jeremy Y; Boon, Heather S; Thompson, Alison K; Whitehead, Cynthia R

2016-05-20

Medical pluralism has flourished throughout the Western world in spite of efforts to legitimize Western biomedical healthcare as "conventional medicine" and thereby relegate all non-physician-related forms of healthcare to an "other" category. These "other" practitioners have been referred to as "unconventional", "alternative" and "complementary", among other terms throughout the past half century. This study investigates the discourses surrounding the changes in the terms, and their meanings, used to describe unconventional medicine in North America. Terms identified by the literature as synonymous to unconventional medicine were searched using the Scopus database. A textual analysis following the method described by Kripendorff 2013 was subsequently performed on the five most highly-cited unconventional medicine-related peer-reviewed literature published between 1970 and 2013. Five commonly-used, unconventional medicine-related terms were identified. Authors using "complementary and alternative", "complementary", "alternative", or "unconventional" tended to define them by what they are not (e.g., therapies not taught/used in conventional medicine, therapy demands not met by conventional medicine, and therapies that lack research on safety, efficacy and effectiveness). Authors defined "integrated/integrative" medicine by what it is (e.g., a new model of healthcare, the combining of both conventional and unconventional therapies, accounting for the whole person, and preventative maintenance of health). Authors who defined terms by "what is not" stressed that the purpose of conducting research in this area was solely to create knowledge. Comparatively, authors who defined terms by "what is" sought to advocate for the evidence-based combination of unconventional and conventional medicines. Both author groups used scientific rhetoric to define unconventional medical practices. This emergence of two groups of authors who used two different sets of terms to refer to the

Textual analysis and machine leaning: Crack unstructured data in finance and accounting

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Li Guo

2016-09-01

Full Text Available In finance and accounting, relative to quantitative methods traditionally used, textual analysis becomes popular recently despite of its substantially less precise manner. In an overview of the literature, we describe various methods used in textual analysis, especially machine learning. By comparing their classification performance, we find that neural network outperforms many other machine learning techniques in classifying news category. Moreover, we highlight that there are many challenges left for future development of textual analysis, such as identifying multiple objects within one single document.

Textual appropriation in engineering master's theses: a preliminary study.

Science.gov (United States)

Eckel, Edward J

2011-09-01

In the thesis literature review, an engineering graduate student is expected to place original research in the context of previous work by other researchers. However, for some students, particularly those for whom English is a second language, the literature review may be a mixture of original writing and verbatim source text appropriated without quotations. Such problematic use of source material leaves students vulnerable to an accusation of plagiarism, which carries severe consequences. Is such textual appropriation common in engineering master's writing? Furthermore, what, if anything, can be concluded when two texts have been found to have textual material in common? Do existing definitions of plagiarism provide a sufficient framework for determining if an instance of copying is transgressive or not? In a preliminary attempt to answer these questions, text strings from a random sample of 100 engineering master's theses from the ProQuest Dissertations and Theses database were searched for appropriated verbatim source text using the Google search engine. The results suggest that textual borrowing may indeed be a common feature of the master's engineering literature review, raising questions about the ability of graduate students to synthesize the literature. The study also illustrates the difficulties of making a determination of plagiarism based on simple textual similarity. A context-specific approach is recommended when dealing with any instance of apparent copying.

Effects of pictures and textual arguments in sun protection public service announcements.

Science.gov (United States)

Boer, Henk; Ter Huurne, Ellen; Taal, Erik

2006-01-01

The effect of public service announcements aimed at promoting primary prevention of skin cancer may be limited by superficial cognitive processing. The use of both pictures and textual arguments in sun protection public service announcements were evaluated for their potentially beneficial effects on judgment, cognitive processing and persuasiveness. In a 2 x 2 factorial experimental design individuals were shown public service announcements that advocated the advantages of sun protection measures in different versions in which a picture was present or not present and a textual argument was present or not present. The 159 participants were randomly assigned to one of four conditions. In each condition, participants were shown 12 different public service announcements designed according to the condition. Participants judged each public service announcement on attractiveness, credibility, clarity of communication and the required amount of reflection. After the judgment task, they completed a questionnaire to assess knowledge, perceived advantages and disadvantages of sun protection and intended use of sun protection measures. Pictures enhanced attractiveness, but diminished comprehension. Textual arguments enhanced attractiveness, credibility and comprehension. Pictures as well as textual arguments increased knowledge of sun protection measures. Pictures and textual arguments in public service announcements positively influence the individual's perception of the advantages of sun protection methods and the advantages of their adoption.

Do tipo textual ao gênero de texto. A redação no vestibular / From textual type to textual genre. The essay in the university entrance exam

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Maria Helena Cruz Pistori

2012-06-01

Full Text Available Os atuais documentos oficiais elaborados pelo Ministério da Educação no Brasil têm preconizado o ensino da produção textual por meio do gênero - discursivo ou textual. Seguindo essa linha, o exame vestibular de ingresso a uma das maiores universidades paulistas de 2011 também solicitou dos candidatos a elaboração de três textos, de diferentes gêneros. Com o objetivo de verificar que horizontes teórico-metodológicos fundamentaram a elaboração daquele exame, analisamos os textos do (1 Manual do Candidato, da (2 Prova de redação e da (3 Expectativa da banca. Nosso parâmetro teórico é o conceito de gênero discursivo conforme desenvolvido pelos membros do Círculo de Bakhtin desde 1920. Observamos, então, como essa nova proposta visa avaliar as características que a Universidade espera encontrar em cada um de seus alunos; como utiliza o arsenal teórico nos textos analisados e como garante a avaliação da capacidade argumentativa dos candidatos. Finalmente, sugerimos a possibilidade de trabalho com o gênero “dissertação escolar”.Today's official documents drawn up by the Ministry of Education in Brazil have advocated that textual production should be taught by the concepts of speech genre or textual genre. Following this guideline, the 2011 edition of the entrance exam, vestibular, of one of the most important universities in the state of São Paulo, Brazil, asked its candidates to write three texts, each one belonging to a different genre. In order to verify the theoretical-methodological horizons that motivated the elaboration of that exam, we analyzed the texts of (1 the candidate's guidelines, (2 the examination essay and (3 the expectations set by the examiners. Our theoretical perspective is the concept of discursive genre as developed by the members of the Bakhtin Circle since 1920. Then, we observe how this new proposal aims at evaluating the characteristics that the University expects to find in each one of

Textual Input Enhancement for Vowel Blindness: A Study with Arabic ESL Learners

Science.gov (United States)

Alsadoon, Reem; Heift, Trude

2015-01-01

This study explores the impact of textual input enhancement on the noticing and intake of English vowels by Arabic L2 learners of English. Arabic L1 speakers are known to experience "vowel blindness," commonly defined as a difficulty in the textual decoding and encoding of English vowels due to an insufficient decoding of the word form.…

Punctuation as readability and textuality factor in technical discourse

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Carmen Sancho Guinda

2002-04-01

Full Text Available This paper studies the incidence of punctuation on the reading comprehension of technical discourse and its role as a factor of textuality. Starting out from the notions of textuality and punctuation functions formulated by different linguistic approaches, an analysis has been made to quantify the decoding skills and punctuating competence of 60 Aeronautical Engineering students, as well as to determine the nature and effects of their punctuation errors. The survey has been focused on the Full Stop, the comma and the hyphen due to their highly conflicting uses as regards the identification of immediate sentence constituents and semantic relationships. The results obtained suggest that most students have a poor knowledge of punctuation rules and little awareness of punctuation as a textual elementaffecting readability. Errors are in the main related to comma use and produced by transference, either of Spanish punctuating habits into English, or of individual prosodic patterns into writing, while meaning appears to be the prevailing punctuating criterion over sound and syntax. Punctuation proves an effective tool for the anticipation of implicit meanings and an untapped resource in the teaching of the diverse communicative and stylistic possibilities offered by technical texts.

Viagem, identidade e memória textual em Antonio Tabucchi

OpenAIRE

Melissa Cobra Torre

2012-01-01

Esta dissertação apresenta uma reflexão sobre a viagem, a identidade, o jogo e a memória textual na obra de Antonio Tabucchi, tendo em vista o romance 'Noturno Indiano' e os contos 'A frase a seguir é falsa. A frase anterior é verdadeira', 'Il gioco del rovescio', 'Piccoli equivoci senza importanza' e 'I treni che vanno a Madras'. Tem como objetivos repensar o tema da viagem em 'Noturno Indiano'; enfocar a questão da identidade no referido romance; discutir o jogo textual em 'Noturno Indiano'...

Combining textual and visual information for image retrieval in the medical domain.

Science.gov (United States)

Gkoufas, Yiannis; Morou, Anna; Kalamboukis, Theodore

2011-01-01

In this article we have assembled the experience obtained from our participation in the imageCLEF evaluation task over the past two years. Exploitation on the use of linear combinations for image retrieval has been attempted by combining visual and textual sources of images. From our experiments we conclude that a mixed retrieval technique that applies both textual and visual retrieval in an interchangeably repeated manner improves the performance while overcoming the scalability limitations of visual retrieval. In particular, the mean average precision (MAP) has increased from 0.01 to 0.15 and 0.087 for 2009 and 2010 data, respectively, when content-based image retrieval (CBIR) is performed on the top 1000 results from textual retrieval based on natural language processing (NLP).

Analyzing textual databases using data mining to enable fast product development processes

International Nuclear Information System (INIS)

Menon, Rakesh; Tong, Loh Han; Sathiyakeerthi, S.

2005-01-01

Currently, companies active in the design of high-tech products are confronted with a number of, often conflicting, challenges. Not only do they have to develop increasingly complex products in ever-shorter amounts of time but they also have to produce them cheaply for the local as well as global markets. In order to manage these conflicting trends adequately, as this paper will demonstrate, companies need to have high quality information at the right moment and at the right location. This serves as the motivation of this paper in which various databases within the product life cycle are examined. Due to the fact that unanticipated information plays a more and more dominant role, especially in highly innovative business processes, we focus our attention on textual databases since textual databases offer the best possibility to handle unanticipated free-formatted information. Also their treatment in the literature has thus far been scant. As will be demonstrated in this paper these databases have a huge potential for valuable information. Further, an analysis tool, data mining that could be used to analyse these textual databases so that we could extract information from them quickly and hence be able to access them at the right time when needed, is presented. We also highlight some of the difficulties faced when analyzing textual databases. Thus with the right information from the textual databases and the tools to deliver this information at the right time companies, would definitely be able to shorten development times and hence gain a competitive edge

Textual Enhancement of Input: Issues and Possibilities

Science.gov (United States)

Han, ZhaoHong; Park, Eun Sung; Combs, Charles

2008-01-01

The input enhancement hypothesis proposed by Sharwood Smith (1991, 1993) has stimulated considerable research over the last 15 years. This article reviews the research on textual enhancement of input (TE), an area where the majority of input enhancement studies have aggregated. Methodological idiosyncrasies are the norm of this body of research.…

Food and medicines in the Mediterranean tradition. A systematic analysis of the earliest extant body of textual evidence.

Science.gov (United States)

Touwaide, Alain; Appetiti, Emanuela

2015-06-05

that humans have long been in contact with them, something that the medical uses of these species confirm, as they are multiple and finely distinguished. A pilot analysis of archeological remains of medicines confirms that textual evidence corresponds to physical evidence, that is, to the practice of medicine. As a consequence, textual information can be accepted as reflecting actual practice. Although the pseudo-aphorism according to which food are medicines and medicines are food does not appear as such in the Hippocratic Collection, it aptly expresses a fundamental element of the Hippocratic approach to therapeutics, without being, however, a creation of neither Hippocrates nor his followers and the physicians who practiced a form of medicine in the way of Hippocrates. A vast majority of the core group of plant species used for the preparation of medicines were also consumed as foodstuff. Knowledge and use of these plants probably resulted from a long co-existence in the same environment and also from multiple experiences of trial and error over millennia, whose results accumulated over time and contributed to the formation of the Mediterranean medical tradition. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

European Integration and Postcolonial Sovereignty Games

DEFF Research Database (Denmark)

observation, textual, legal and institutional analysis for a new theoretical approach to understanding the strategic possibilities and subjectivity of non-sovereign entities in international politics. Bringing together research on European integration and postcolonial theory, European Integration...

The Ubiquity of Humanity and Textuality in Human Experience

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Daihyun Chung

2015-11-01

Full Text Available The so-called “crisis of the humanities” can be understood in terms of an asymmetry between the natural and social sciences on the one hand and the humanities on the other. While the sciences approach topics related to human experience in quantificational or experimental terms, the humanities turn to ancient, canonical, and other texts in the search for truths about human experience. As each approach has its own unique limitations, it is desirable to overcome or remove the asymmetry between them. The present article seeks to do just that by advancing and defending the following two claims: (a that humanity is ubiquitous wherever language is used; and (b that anything that can be experienced by humans is in need of an interpretation. Two arguments are presented in support of these claims. The first argument concerns the nature of questions, which are one of the fundamental marks or manifestations of human language. All questions are ultimately attempts to find meanings or interpretations of what is presented. As such, in questioning phenomena, one seeks to transcend the negative space or oppression of imposed structures; in doing so, one reveals one’s humanity. Second, all phenomena are textual in nature: that which astrophysicists find in distant galaxies or which cognitive neuroscientists find in the structures of the human brain are no less in need of interpretation than the dialogues of Plato or the poems of Homer. Texts are ubiquitous. The implications of these two arguments are identified and discussed in this article. In particular, it is argued that the ubiquity of humanity and textuality points to a view of human nature that is neither individualistic nor collectivist but rather integrational in suggesting that the realization of oneself is inseparable from the realization of others.

Itinerarios textuales del "Quijote" en América (siglos XVII a XIX

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Eva Marìa Valero Juan

2013-12-01

Full Text Available Starting with a brief description of the journey taken by the first editions of the Quixote which were sent to America, this article aims to review the textual biography of don Quixote in America between the 17th and 19th centuries. This selective review starts with the accounts of popular festivities that give evidence of the first appearances of don Quixote and Sancho in the texts. The selection of texts goes from 1607 to the Spanish Emancipation century, paying particular attention to its final years, with the analysis of some of the texts that Ruben Dario devoted to the Quixote, and of the rise of Don Quixote as a Spanish American symbol of identity.

A Textual Feedback Tool for Empowering Participants in Usability and UX Evaluations

DEFF Research Database (Denmark)

Sivaji, Ashok; Clemmensen, Torkil; Nielsen, Søren Feodor

2017-01-01

-educated, but low-status, users in UX evaluations in countries and contexts with high power distances. The proposed tool contributes to the HCI community’s pool of localized UX evaluation tools. We evaluate the tool with 40 users from two socio-economic groups in real-life UX usability evaluations setting...... in Malaysia. The results indicate that the Textual Feedback tool may help participants to give their thoughts in UX evaluation in high power distance contexts. In particular, the Textual Feedback tool helps high status females and low status males express more UX problems than they can do with traditional CTA...... alone. We found that classic concurrent think aloud UX evaluation works fine in high power contexts, but only with the addition of Textual feedback to mitigate the effects of socio-economic status in certain user groups. We suggest that future research on UX evaluation look more into how to empower...

EXPERIENCIAS SIGNIFICATIVAS DE INTEGRACIÓN SOCIAL DE UNIVERSITARIOS MEDIANTE LA PRODUCCIÓN TEXTUAL DE RAP I SIGNIFICANT EXPERIENCES OF SOCIAL INTEGRATION OF UNIVERSITY STUDENTS BY TEXTUAL PRODUCTION OF RAP

Directory of Open Access Journals (Sweden)

Adriana María Pérez Cedeño

2018-04-01

Full Text Available Universities are beginning to promote policies aimed at eliminating discrimination, promoting spaces for community, social and educational participation. Therefore, the incorporation of college students to their academic discourse community is encouraged, since they are young people with a particular history and complex social life, which are included in different ways into the educational system. The overall purpose is to assess the intercultural resource "rap" in the academic practice of textual compositions by new students in the Extensión Región Centro- Sur of the Universidad de Oriente. In this qualitative research, the content analysis is used to account for the experiences of eight key informants interviewed, students of Industrial Engineering or Systems Engineering. It is intended to understand the reasons for the behavior of these students, analyzing both the thematic as the overall quality of writing, the reality in which they arise, and how they express their living experiences. The findings indicate that, despite the difficulties in the writing of texts: a students, in addition to reporting, are identified with this musical style, because its main purpose lies in provoking reactions, b the strategy allows to cater a heterogeneous population academically and culturally, c university students may recognize, as any artistic expression, musical text resulting from this interpretation, which has a social impact in a given group of persons. This strategy provides an opportunity to reflect on the process of integral development and deepens in the construction of a new model of society

La superación a los docentes para la producción textual

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Rafaela Hinojosa Legrá

2017-11-01

Full Text Available La producción textual es uno de los componentes más afectados desde los primeros grados en la enseñanza de la Lengua Materna, entre las causas que lo provocan está la deficiente preparación de los docentes para ofrecer el tratamiento adecuado, este trabajo ofrece vías para la superación profesional respecto a la producción textual.

Extracting meronomy relations from domain-specific, textual corporate databases

NARCIS (Netherlands)

Ittoo, R.A.; Bouma, G.; Maruster, L.; Wortmann, J.C.; Hopfe, C.J.; Rezgui, Y.; Métais, E.; Preece, A.; Li, H.

2010-01-01

Various techniques for learning meronymy relationships from open-domain corpora exist. However, extracting meronymy relationships from domain-specific, textual corporate databases has been overlooked, despite numerous application opportunities particularly in domains like product development and/or

Finding Environmental Knowledge in SCUBA-Based Textual Materials

Science.gov (United States)

Gündogdu, Cemal; Aygün, Yalin; Ilkim, Mehmet

2018-01-01

As marine environments within the adventure domain are future key-settings for recreational SCUBA diving experience, SCUBA-based textual materials should provide insight into environmental knowledge that is well connected to the novice divers' behaviour and attitude. This research is concerned with a major recreational SCUBA diver manual for…

Textual and Pictorial Glosses: Effectiveness on Incidental Vocabulary Growth When Reading in a Foreign Language.

Science.gov (United States)

Kost, Claudia R.; Foss, Pamelo; Lenzini, John J.

1999-01-01

Investigates the effects of pictorial and textual glosses and a combination thereof on incidental vocabulary growth of foreign language learners. Subjects from second-semester German classes read a narrative text passage under one of three marginal gloss conditions: textual gloss (English translation); pictorial gloss; and text and pictures in the…

Comparison of CTA and Textual Feedback in Usability Testing for Malaysian Users

DEFF Research Database (Denmark)

Sivaji, Ashok; Clemmensen, Torkil; Nielsen, Søren Feodor

Usability moderators found that the concurrent think-aloud (CTA) method has some cultural limitation that impacts usability testing with Malaysian users. This gives rise to proposing a new method called textual feedback. The research question is to determine whether there are any differences...... in usability defects from the concurrent think-aloud (CTA) method (Condition 2) and textual feedback method (Condition 1) within the same group of Malaysian users. A pair-wise t-test was used, whereby users were subjected to performing usability task using both methods. Results reveal that we can reject...

Textual Condensation in Printed Dictionaries. A Theoretical Draft·

African Journals Online (AJOL)

applying procedures of textual condensation in relation to a respective full text. The full text ..... and, if one does not consider the inserted wordforms, of the same number of letters. .... soccer clogging: the match turned into a rough game da32.

Textual standardization and the DSM-5 "common language".

Science.gov (United States)

Kelly, Patty A

2014-06-01

In February 2010, the American Psychiatric Association (APA) launched their DSM-5 website with details about the development of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The APA invited "the general public" to review the draft diagnostic criteria and provide written comments and suggestions. This revision marks the first time the APA has solicited public review of their diagnostic manual. This article analyzes reported speech on the DSM-5 draft diagnostic criteria for the classification Posttraumatic Stress Disorder. It demonstrates how textual standardization facilitates the cultural portability of the DSM-5 diagnostic criteria such that a community of speakers beyond the borders of the APA come to be seen as exemplary speakers, writers, and revisers of the professional style. Furthermore, analysis shows how co-authoring practices recontextualize the "voice" and persona of putative patient reported speech on Criterion D2. As a consequence of textual standardization, spoken discourse becomes recontextualized as the product of scientific inquiry and the organization of psychiatric knowledge.

Variations in Textualization: A Cross-generic and Cross-disciplinary Study, Implications for Readability of the Academic Discourse

Directory of Open Access Journals (Sweden)

Mina Abbasi Bonabi

2018-01-01

Full Text Available According to discoursal views on language, variations in textualization strategies are always socio-contextually motivated and never happen at random. The textual forms employed in a text, along with many other discoursal and contextual factors, could certainly affect the readability of the text, making it more or less processable for the same reader. On the basis of these assumptions, the present study set out to examine how our data varied across genres and disciplines in terms of our target textual forms. These forms are as follows: the magnitude of T-unit (MOTU, the degree of embeddedness of the main verb in T-unit (DE, the physical distance between the verb and its satellite elements (PD, the magnitude of the noun phrase appearing before the verb (MOX, and the magnitude of noun phrase appearing after the verb (MOY. Our data consisted of 20 research articles randomly selected from two different disciplines of Biology and Applied Linguistics, to be analyzed in terms of the above-named textual strategies. One way ANOVA and post hoc Tukey tests were used for data analyses. The results revealed cross-generic as well as cross-disciplinary differences in the employment of the above textual forms. These findings were discussed in terms of the academic concepts and discourse on the one hand and the possible effect of the required textual forms on the readability of the text on the other hand.

Conexões entre produção textual e consciência lingüística

Directory of Open Access Journals (Sweden)

Soroka, Jaqueline Golbspan

1998-01-01

Full Text Available Este artigo examina a conexão entre consciência lingüística e produção textual, enfatizando os mecanismos coesivos e as etapas subjacentes ao processo de organização textual. Trata-se de uma investigação interdisciplinar a tipo exploratório, baseada nos pressupostos teóricos da psicologia cognitiva, da psicolingüística e da lingüística textual. Com o objetivo de verificar se o desempenho na produção textual - em termos de uso dos mecanismos coesivos - relaciona-se positivamente com o desenvolvimento da consciência lingüística, e se escritores com déficit na escrita redacional poderiam se beneficiar com uma abordagem terapêutica que estimule suas habilidades para refletir sobre a libguagem, foi desenvolvida nesta pesquisa uma etapa de 30 sessões de tratamento psicopedagógico grupal. Três sujeitos pré-adolescentes, de 11 a 14 anos de idade, integram o grupo (um dos sujeitos encontrava-se repetindo a 5ª série e os demais cursavam a 6ª série do 1º grau. Concluímos que a estimulação das habilidades metalingüísticas podem auxiliar os sujeitos com dificuldades escolares e desenvolver proficiência na produção textual, no que diz respeito ao monitoramento do uso dos mecanismos coesivos

A Cross Cultural Analysis of Textual and Interpersonal Metadiscourse Markers: The Case of Economic Articles in English and Persian Newspapers

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Abbas Mehrabi Boshrabadi

2014-04-01

Full Text Available This study was an attempt to investigate the functional role of textual and interpersonal metadiscourse markers in English and Persian Economic news reports. To this end, 10 news articles, 5 in each language, were randomly selected from the Economic sections of the leading newspapers published in 2013-2014 in Iran and the United States. Based on Kopple’s (1985 taxonomy, the type and frequency of metadiscourse markers used in the texts were analyzed to find out their functions in the text. The findings revealed that the textual markers used by Persian authors were considerably more frequent than those employed by the American writers. Interestingly, unlike the Persian writers, the American authors enlisted a larger number of interpersonal markers, which made their angle of the subject treatment different. It is evident that the differential use of metadiscourse markers by nationally different authors could be attributed to culture-specific norms governing the development and organization of discourse.

The Target of the Question: A Taxonomy of Textual Features for Cambridge University "O" Levels English

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Benjamin, Shanti Isabelle

2015-01-01

This study investigates the typical textual features that are most frequently targeted in short-answer reading comprehension questions of the Cambridge University "O" Level English Paper 2. Test writers' awareness of how textual features impact on understanding of meanings in text decisions will determine to great extent their decisions…

Recognizing textual entailment models and applications

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Dagan, Ido; Sammons, Mark

2013-01-01

In the last few years, a number of NLP researchers have developed and participated in the task of Recognizing Textual Entailment (RTE). This task encapsulates Natural Language Understanding capabilities within a very simple interface: recognizing when the meaning of a text snippet is contained in the meaning of a second piece of text. This simple abstraction of an exceedingly complex problem has broad appeal partly because it can be conceived also as a component in other NLP applications, from Machine Translation to Semantic Search to Information Extraction. It also avoids commitment to any sp

Protecting Digital Evidence Integrity by Using Smart Cards

Science.gov (United States)

Saleem, Shahzad; Popov, Oliver

RFC 3227 provides general guidelines for digital evidence collection and archiving, while the International Organization on Computer Evidence offers guidelines for best practice in the digital forensic examination. In the light of these guidelines we will analyze integrity protection mechanism provided by EnCase and FTK which is mainly based on Message Digest Codes (MDCs). MDCs for integrity protection are not tamper proof, hence they can be forged. With the proposed model for protecting digital evidence integrity by using smart cards (PIDESC) that establishes a secure platform for digitally signing the MDC (in general for a whole range of cryptographic services) in combination with Public Key Cryptography (PKC), one can show that this weakness might be overcome.

An analysis for understanding the process of textual deconstruction as a motivator for learning

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Ana Delia Barrera Jiménez

2010-03-01

Full Text Available The present article aims to analyze the potential of the process of textual understanding and construction, for the development of motivation towards learning in teacher trainees for Preuniversities. In this direction it advocates in the first place, to understand the dynamic relationship established between the process of textual attribution and production and the motivational one, which provides the indispensable condition for promoting the work with the text from all the subjects in the curriculum.

Suggestions toward some discourse-analytic approaches to text difficulty: with special reference to ‘T-unit configuration’ in the textual unfolding

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Kazem Lotfipour-Saedi

2015-01-01

Full Text Available This paper represents some suggestions towards discourse-analytic approaches for ESL/EFL education, with the focus on identifying the textual forms which can contribute to the textual difficulty. Textual difficulty / comprehensibility, rather than being purely text-based or reader-dependent, is certainly a matter of interaction between text and reader. The paper will look at some of the textual factors which can be argued to make a text more or less readable for the same reader. The main focus here will be on academic texts. The high cognitive load and low readability of the expository texts in various academic disciplines will be argued to belong to certain textual strategies as well as variations in the configurations of the T-units as the prime scaffolding for the textualization process. Different categories of these variations to be discussed here will be exemplified from a few academic and expository registers. More extensive textual analyses will, of course, be necessary in order to be able to make evidential suggestions for possible correlations between certain types and clusters of T-unit configurations on the one hand, and cognitive load and readability indices on the other, across various academic registers, genres and disciplines.

Biomedical Imaging Modality Classification Using Combined Visual Features and Textual Terms

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Xian-Hua Han

2011-01-01

extraction from medical images and fuses the different extracted visual features and textual feature for modality classification. To extract visual features from the images, we used histogram descriptor of edge, gray, or color intensity and block-based variation as global features and SIFT histogram as local feature. For textual feature of image representation, the binary histogram of some predefined vocabulary words from image captions is used. Then, we combine the different features using normalized kernel functions for SVM classification. Furthermore, for some easy misclassified modality pairs such as CT and MR or PET and NM modalities, a local classifier is used for distinguishing samples in the pair modality to improve performance. The proposed strategy is evaluated with the provided modality dataset by ImageCLEF 2010.

ESTUDIO SOBRE LOS ABSTRACTS DE ARTÍCULOS DE INVESTIGACIÓN INFORMÁTICOS: EVIDENCIALIDAD Y MODALIDAD TEXTUAL

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Ivalla Ortega Barrera

2010-10-01

Full Text Available Evidentiality and textual modality are widely debated fi eld categories within the areas of linguistics and textual stylistics. The attitude of the author towards the topic indicates its commitment with the established proposition. In this way, his attitude can have either a rational/evaluative character (objective or an emotional/expressive character (subjective, which thus conveys the tonality of the discourse. The present paper, which forms part of the research project "Evidentiality in a multidisciplinary corpus of research papers in English" of the University of Las Palmas de Gran Canaria, focuses on the genre "abstracts of research papers applied to computer science". In this paper we will analyse two types of characteristic functions: the communicative stamp of the markers which correspond to textual modality, both objective and subjective according to their relationship with the evidential and judgement markers, and the frequency of its use in the genre we are studying.

Benjamin’s Dialectical Image and the Textuality of the Built Landscape

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Ross Lipton

2016-05-01

Full Text Available In The Arcades Project, Walter Benjamin describes the architectural expression of nineteenth century Paris as a dialectical manifestation of backwards-looking historicism and the dawn of modern industrial production (in the form of cast iron and mass produced plate glass. Yet in the same text, Benjamin refers to the dialectical image as occurring within the medium of written language. In this paper, I will first discuss the textuality of the dialectical image as it emerges from Benjamin’s discussion of allegorical and symbolic images in his Trauerspiel study and the ‘wish symbol’ in The Arcades Project. I will then discuss the ‘textual reductionism’ implicit in Benjamin’s theory of the dialectical image, in which the dense pluralities of urban space are reduced to a finite script to be pieced together through Benjamin’s constructivist method of historical observation. The textuality of the dialectical image will be elaborated on by discussing it in relation to the practice of translation. This discussion will be further contextualised by discussing a cadre of German/Austrian planners and architects who attempted to translate architectural idioms between cultural identities in Kemalist Era Turkey. The article concludes with a short recapitulation on the dialectical image as both an object of scrutiny and a method of observation, one which also takes into consideration the specific historicity of the observer.

Neurocognitive capabilities modulate the integration of evidence in schizophrenia

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Eifler, Sarah; Rausch, Franziska; Schirmbeck, Frederike; Veckenstedt, Ruth; Englisch, Susanne; Meyer-Lindenberg, Andreas; Kirsch, Peter; Zink, Mathias

2014-01-01

Previous studies have demonstrated a cognitive bias in the integration of disconfirmatory evidence (BADE) in patients with schizophrenia. This bias has been associated with delusions. So far, it is unclear how the integration of evidence is associated with neurocognitive capabilities. In the current

On the metaphorical nature of intellectual capital: a textual analysis

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Dr. Daan Andriessen

2006-01-01

Purpose – To analyse common metaphors used in the intellectual capital (IC) and knowledge management literatures to conceptualise knowledge, in order to study the nature of the intellectual capital concept. Design/methodology/approach – A textual analysis methodology is used to analyse texts

Variations in Textualization: A Cross-Generic and Cross-Disciplinary Study, Implications for Readability of the Academic Discourse

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Bonabi, Mina Abbasi; Lotfipour-Saedi, Kazem; Hemmati, Fatemeh; Jafarigohar, Manoochehr

2018-01-01

According to discoursal views on language, variations in textualization strategies are always sociocontextually motivated and never happen at random. The textual forms employed in a text, along with many other discoursal and contextual factors, could certainly affect the readability of the text, making it more or less processable for the same…

THE POTENCIALITY OF TRANSMEDIA NARRATIVE AND THE PRACTICE OF READING AND TEXTUAL PRODUCTION

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Daniella de Jesus Lima

2017-08-01

Full Text Available In this article we have reflect on the digital culture and its implications in education field, emphasizing the characteristics of the transmedia narrative. The objectives were to discuss the relationship between transmediation and the education, based on the methodology of teaching of textual genres with students of the social communication course - journalism of a private university in the brazilian northeast. We also used as methodology the bibliographic research and participant observation. As a result, we conclude that the elements of the transmedia narrative in the students's textual production have presented advantages and improvements for the educational process.

Discourses of Plagiarism: Moralist, Proceduralist, Developmental and Inter-Textual Approaches

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Kaposi, David; Dell, Pippa

2012-01-01

This paper reconstructs prevalent academic discourses of student plagiarism: moralism, proceduralism, development, and writing/inter-textuality. It approaches the discourses from three aspects: intention, interpretation and the nature of the academic community. It argues that the assumptions of the moralistic approach regarding suspect intention,…

The social organization of representations of history: the textual accomplishment of coming to terms with the past.

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Tileagă, Cristian

2009-06-01

This paper is concerned with the social organization of collective memory and representations of history in the context of how post-communist democracies reckon with former regimes. It specifically centres on the textual accomplishment of coming to terms with the past in the 'Tismăneanu Report' condemning Communism in Romania. The focus is on how the Report displays and shapes the ideological contours of coming to terms with the past around a particular 'social representation' of history. Several constitutive features of the Report that facilitate bringing off a particular 'representation of history' are identified: (a) the construction of a practical framework for the inquiry as a matter of public concern and attention; (b) the production of 'Communism' as an empirical category with uniquely bound features; and (c) the structuring of time by bringing together a political agenda and national identity. The present argument tries to place representations of history (and coming to terms with the past) as something in need of constitution rather than simply relied on. It is suggested that a conception of coming to terms with the past as a textual accomplishment may lead to a fuller appreciation of the structure, function and salience of representations of history as integral part of moral/political/legal courses of action.

Generation of Natural-Language Textual Summaries from Longitudinal Clinical Records.

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Goldstein, Ayelet; Shahar, Yuval

2015-01-01

Physicians are required to interpret, abstract and present in free-text large amounts of clinical data in their daily tasks. This is especially true for chronic-disease domains, but holds also in other clinical domains. We have recently developed a prototype system, CliniText, which, given a time-oriented clinical database, and appropriate formal abstraction and summarization knowledge, combines the computational mechanisms of knowledge-based temporal data abstraction, textual summarization, abduction, and natural-language generation techniques, to generate an intelligent textual summary of longitudinal clinical data. We demonstrate our methodology, and the feasibility of providing a free-text summary of longitudinal electronic patient records, by generating summaries in two very different domains - Diabetes Management and Cardiothoracic surgery. In particular, we explain the process of generating a discharge summary of a patient who had undergone a Coronary Artery Bypass Graft operation, and a brief summary of the treatment of a diabetes patient for five years.

Improved medical image modality classification using a combination of visual and textual features.

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Dimitrovski, Ivica; Kocev, Dragi; Kitanovski, Ivan; Loskovska, Suzana; Džeroski, Sašo

2015-01-01

In this paper, we present the approach that we applied to the medical modality classification tasks at the ImageCLEF evaluation forum. More specifically, we used the modality classification databases from the ImageCLEF competitions in 2011, 2012 and 2013, described by four visual and one textual types of features, and combinations thereof. We used local binary patterns, color and edge directivity descriptors, fuzzy color and texture histogram and scale-invariant feature transform (and its variant opponentSIFT) as visual features and the standard bag-of-words textual representation coupled with TF-IDF weighting. The results from the extensive experimental evaluation identify the SIFT and opponentSIFT features as the best performing features for modality classification. Next, the low-level fusion of the visual features improves the predictive performance of the classifiers. This is because the different features are able to capture different aspects of an image, their combination offering a more complete representation of the visual content in an image. Moreover, adding textual features further increases the predictive performance. Finally, the results obtained with our approach are the best results reported on these databases so far. Copyright © 2014 Elsevier Ltd. All rights reserved.

Integrating Evidence Within and Across Evidence Streams Using Qualitative Methods

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There is high demand in environmental health for adoption of a structured process that evaluates and integrates evidence while making decisions transparent. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework holds promise to address this deman...

Shaping Up? Three Acts of Education Studies as Textual Critique

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McDougall, Julian; Walker, Stephen; Kendall, Alex

2006-01-01

This paper presents a study of dominant educational discourses through textual critique and argues that such an approach enables education studies to preserve an important distinction from teacher training. The texts deconstructed here are specific to English education, but the discourses at work have international relevance as the rhetorics of…

Textual, Genre and Social Features of Spoken Grammar: A Corpus-Based Approach

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Carmen Pérez-Llantada

2009-02-01

Full Text Available This paper describes a corpus-based approach to teaching and learning spoken grammar for English for Academic Purposes with reference to Bhatia’s (2002 multi-perspective model for discourse analysis: a textual perspective, a genre perspective and a social perspective. From a textual perspective, corpus-informed instruction helps students identify grammar items through statistical frequencies, collocational patterns, context-sensitive meanings and discoursal uses of words. From a genre perspective, corpus observation provides students with exposure to recurrent lexico-grammatical patterns across different academic text types (genres. From a social perspective, corpus models can be used to raise learners’ awareness of how speakers’ different discourse roles, discourse privileges and power statuses are enacted in their grammar choices. The paper describes corpus-based instructional procedures, gives samples of learners’ linguistic output, and provides comments on the students’ response to this method of instruction. Data resulting from the assessment process and student production suggest that corpus-informed instruction grounded in Bhatia’s multi-perspective model can constitute a pedagogical approach in order to i obtain positive student responses from input and authentic samples of grammar use, ii help students identify and understand the textual, genre and social aspects of grammar in real contexts of use, and therefore iii help develop students’ ability to use grammar accurately and appropriately.

Nuevas alfabetizaciones en un entorno multimodal: nuevas necesidades lectoras para un entorno textual múltiple

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Juan Patricio Sánchez-Claros

2016-01-01

Full Text Available The new technologies of information, the development of the media and the massive presence of multimedia devices have brought a renewal of the traditional concept of literacy. Multimodality in the media, in the dissemination of knowledge and the communicat ion formats have brought a change in the system of reception of media objects and each of its integral elements. This multimodal environment is part of the daily life of students who access through a scenario of screens and images across a virtual environm ent in which both textual and visual are integrated as an informational continuum that requires to users new interpretation skills. And, consequently, a new approach to media literacy should be the subject of attention from educators. Media literac y implies the need to address new visual skills, new reading skills and especially new skills for integration and analysis, among those who cannot be set aside on the critical apparatus necessary. This paper discusses the content of these skills, some cri tical tools for multimodal approach speech as well as the role the four substrata of discourse, design, production and distribution , typical ofCritical Analysis of Multimodal Discourse are analysed .

The struggle for textual conventions in a language support programme

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In this article, the writer explores the experience of a group of South African learners with regard to a language support course that aims to facilitate their struggle to master English textual conventions in discipline specific contexts. The academic context of this study was that of a nursing science degree programme where ...

Legitimate Textual Borrowing: Direct Quotation in L2 Student Writing

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Petric, Bojana

2012-01-01

Using textual analysis and interviews with student writers, this study aims to provide an insight into second language students' use of direct quotations in their MA theses by comparing direct quotations in high-rated and low-rated Master's theses, and by exploring student writers' own motivations to quote directly from sources. The corpus…

SECRETARIAT AND TEXTUAL PRODUCTION: ARGUMENTATION IN THE TEXTUAL GENRE LETTER OF DECLARATION

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Erivaldo Pereira do Nascimento

2012-05-01

Full Text Available This article aims at describing the semantic argumentative structure of the textual/discursive genre Letter of Declaration, one of the documents with which the executive secretary frequently deals. This investigation is based on the Argumention Theory in the Language proposed by Ducrot (1988,1987. We also used the studies about Discursive Modalization proposed by Koch (2002, Castilho e Castilho (1993, Nascimento (2005, among others. Modalization is considered here as a semantic argumentative strategy, as it enables the speaker to make a statement or to express a point of view about the content of his/her enunciation, according to the interlocution. This study about the previously mentioned gender is qualitative, quantitative and descriptive. The corpus used is composed of 20 (twenty Letters of Declaration issued by different organizations or private and public institutions. We perceived that in the Letters of Declaration analysed argumentation is achieved by the use of modalizers and argumentative operators, used by the speaker to produce different effects of meaning in the texts.

Comprensión y Producción Textual Narrativa en Estudiantes de Educación Primaria/ Narrative Textual Comprehension and Production in Primary School Students/ Compreensão e Produção Textual Narrativa em Estudantes de Educação Primária

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Leidy Tatiana Guzmán Torres

2015-05-01

Full Text Available Por medio de un enfoque mixto, se caracterizó la comprensión y producción textual narrativa en estudiantes de educación primaria (primero y segundo grado, así como aspectos psicosociales (valor social de la lectura y hábito lector y contextuales (interacciones cognitivas y afectivas docente-niños en docentes de educación primaria de tres instituciones educativas. Se encontró que los estudiantes tuvieron un desempeño medio alto en producción textual y comprensión literal, y bajo en comprensión inferencial. Además, se observó que la mayoría de las docentes son lectoras ocasionales, emplean interacciones cognitivas unidireccionales, ofrecen un mediano apoyo emocional a sus estudiantes y valoran la lectura como una herramienta instrumental y lúdica.

STATISTICAL RELATIONAL LEARNING AND SCRIPT INDUCTION FOR TEXTUAL INFERENCE

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2017-12-01

compensate for parser errors. We replace deterministic conjunction by an average combiner, which encodes causal independence. Our framework was the...sentence similarity (STS) and sentence paraphrasing, but not Textual Entailment, where deeper inferences are required. As the formula for conjunction ...When combined, our algorithm learns to rely on systems that not just agree on an output but also the provenance of this output in conjunction with the

Biomedical imaging modality classification using combined visual features and textual terms.

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Han, Xian-Hua; Chen, Yen-Wei

2011-01-01

We describe an approach for the automatic modality classification in medical image retrieval task of the 2010 CLEF cross-language image retrieval campaign (ImageCLEF). This paper is focused on the process of feature extraction from medical images and fuses the different extracted visual features and textual feature for modality classification. To extract visual features from the images, we used histogram descriptor of edge, gray, or color intensity and block-based variation as global features and SIFT histogram as local feature. For textual feature of image representation, the binary histogram of some predefined vocabulary words from image captions is used. Then, we combine the different features using normalized kernel functions for SVM classification. Furthermore, for some easy misclassified modality pairs such as CT and MR or PET and NM modalities, a local classifier is used for distinguishing samples in the pair modality to improve performance. The proposed strategy is evaluated with the provided modality dataset by ImageCLEF 2010.

Linnaeus' restless system: translation as textual engineering in eighteenth-century botany.

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Dietz, Bettina

2016-04-01

In this essay, translations of Linnaeus' Systema naturae into various European languages will be placed into the context of successively expanded editions of Linnaeus' writings. The ambition and intention of most translators was not only to make the Systema naturae accessible for practical botanical use by a wider readership, but also to supplement and correct it, and thus to shape it. By recruiting more users, translations made a significant contribution to keeping the Systema up to date and thus maintaining its practical value for decades. The need to incorporate countless additions and corrections into an existing text, to document their provenance, to identify inconsistencies, and to refer to relevant observations, descriptions, and illustrations in the botanical literature all helped to develop and refine techniques of textual montage. This form of textual engineering, becoming increasingly complex with each translation cycle, shaped the external appearance of new editions of the Systema, and reflected the modular architecture of a botanical system designed for expansion.

Investigating Differential Learning Outcomes of Students in Physics Using Animation and Textual Information Teaching Strategies in Ondo State Secondary School

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Blessing Eguabor

2017-06-01

Full Text Available BackgroundThe study investigated the main effects of animation information and textual information on students'performance and improving students' attitude towards physics.Material and methodsThe study adopted the pre-test post-test control group design. The population was made up of SSS 2 students inOndo State. Three Local Government Areas were randomly selected from the 18 Local Government Areas ofOndo State. Simple random technique was used to select three schools in the selected Local Government Areas.The schools were randomly assigned to two experimental groups namely animation and, textual informationstrategy and one control group. Two instruments were used for the study.ResultsOne-way Analysis of Variance (ANOVA, Scheffe Post-Hoc pair-wise comparison Analysis, and two-way Analysisof Variance was used. The results showed that there was a significant main effect of animation and textual strategieson students performance in physics. The results also showed that there was a significant difference in the post testattitudinal score of students' exposed to the strategies with the effectiveness in the order of animation, textual, andconventional strategiesConclusionsThe study concluded that computer- based instruction such as animation and textual strategies could enhancelearning outcomes in Physics in senior secondary school irrespective of students' sex.

FIA: An Open Forensic Integration Architecture for Composing Digital Evidence

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Raghavan, Sriram; Clark, Andrew; Mohay, George

The analysis and value of digital evidence in an investigation has been the domain of discourse in the digital forensic community for several years. While many works have considered different approaches to model digital evidence, a comprehensive understanding of the process of merging different evidence items recovered during a forensic analysis is still a distant dream. With the advent of modern technologies, pro-active measures are integral to keeping abreast of all forms of cyber crimes and attacks. This paper motivates the need to formalize the process of analyzing digital evidence from multiple sources simultaneously. In this paper, we present the forensic integration architecture (FIA) which provides a framework for abstracting the evidence source and storage format information from digital evidence and explores the concept of integrating evidence information from multiple sources. The FIA architecture identifies evidence information from multiple sources that enables an investigator to build theories to reconstruct the past. FIA is hierarchically composed of multiple layers and adopts a technology independent approach. FIA is also open and extensible making it simple to adapt to technological changes. We present a case study using a hypothetical car theft case to demonstrate the concepts and illustrate the value it brings into the field.

Absorbing stories : The effects of textual devices on absorption and evaluative responses

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Kuijpers, Moniek

2014-01-01

In previous research on absorption, the focus has been primarily on the reader
and only little systematic empirical investigation of the possible textual determinants of absorption has been conducted. Furthermore, no attention has been paid to the relationship between aesthetic experiences, such as

Use of a Modified Chaining Procedure with Textual Prompts to Establish Intraverbal Storytelling.

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Valentino, Amber L; Conine, Daniel E; Delfs, Caitlin H; Furlow, Christopher M

2015-06-01

Echoic, tact, and textual transfer procedures have been proven successful in establishing simple intraverbals (Braam and Poling Applied Research in Mental Retardation, 4, 279-302, 1983; Luciano Applied Research in Mental Retardation, 102, 346-357, 1986; Watkins et al. The Analysis of Verbal Behavior, 7, 69-81, 1989). However, these strategies may be ineffective for some children due to the complexity of the targeted intraverbals. The current study investigated the use of a novel procedure which included a modified chaining procedure and textual prompts to establish intraverbal behavior in the form of telling short stories. Visual prompts and rule statements were used with some of the participants in order to produce the desired behavior change. Results indicated that the procedure was effective for teaching retelling of short stories in three children with autism.

El concepto de ficcionalidad: Teoría y representaciones textuales

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Álamo Felices, Francisco

2014-06-01

Full Text Available This article is an updated tour —scientific, terminological and bibliographical— of the concept of fictionality and its fundamental textual representations. The structure of this article is drawn from a prior state of the issue and moves on to a theoretical exposition of these fictional forms, to which a sampler of narrative examples applied to each of the analyzed narratives is added. All of this is complemented by recent contributions made within the field of fictionality by both literary critics and the novelists themselves.Este trabajo es un recorrido actualizado —científico, terminológico y bibliográfico— acerca del concepto de ficcionalidad y sus representaciones textuales fundamentales. La estructura del artículo se traza desde un estado previo de la cuestión para continuar con una exposición teórica de dichas modalidades ficcionales a lo que se añade un muestrario de ejemplos narrativos aplicados a cada caso analizado. Todo lo anterior se complementa con las últimas aportaciones que, en el campo de la ficcionalidad, han realizado tanto la crítica literaria como los propios novelistas.

Effects of Textual Enhancement and Input Enrichment on L2 Development

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Rassaei, Ehsan

2015-01-01

Research on second language (L2) acquisition has recently sought to include formal instruction into second and foreign language classrooms in a more unobtrusive and implicit manner. Textual enhancement and input enrichment are two techniques which are aimed at drawing learners' attention to specific linguistic features in input and at the same…

Principles of Textual Communication. On the Basis of Polish Press Reports after President Obama’s 2009 Inauguration

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Piotr P. Chruszczewski

2009-11-01

Full Text Available On the basis of the assumption that any discourse is a highly context-dependent, and dynamically changing phenomenon of textual nature, and with reference to the fact that there may be used in linguistic research certain standards of textuality, the paper shows that the standards can be grouped into, e.g., three general sections (text-oriented, sender-oriented and context-oriented which can be used as a starting point for further research in the study of textlinguistics and journalistic discourse.

Revisão textual: para além da revisão linguística

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Sueli Maria Coelho

2010-07-01

Full Text Available Este artigo pretende reforçar a ideia de que a revisão textual deve extrapolar a simples correção de questões gramaticais e ortográficas nos textos. Para além dessas questões, observar parâmetros como o gênero e a textualidade no material a ser revisado, bem como se ele está adequado em relação a normas de publicação, discussão do tema e aspectos gráficos faz-se fundamental para uma boa revisão textual. Após discussões teóricas a respeito de aspectos globais do texto, tais como a noção de gêneros textuais/discursivos e a de textualidade, buscou-se mostrar, por meio da análise de três textos (um resumo acadêmico, uma notícia retirada de um sítio e uma piada como os aspectos aqui discutidos influenciam na tomada de decisões do revisor.Palavras-Chave: Revisão textual; Revisão linguística e temática; Revisão gráfica e normalizadora; Gêneros textuais/discursivos.

Exploration of Textual Interactions in CALL Learning Communities: Emerging Research and Opportunities

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White, Jonathan R.

2017-01-01

Computer-assisted language learning (CALL) has greatly enhanced the realm of online social interaction and behavior. In language classrooms, it allows the opportunity for students to enhance their learning experiences. "Exploration of Textual Interactions in CALL Learning Communities: Emerging Research and Opportunities" is an ideal…

Predicting Learning-Related Emotions from Students' Textual Classroom Feedback via Twitter

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Altrabsheh, Nabeela; Cocea, Mihaela; Fallahkhair, Sanaz

2015-01-01

Teachers/lecturers typically adapt their teaching to respond to students' emotions, e.g. provide more examples when they think the students are confused. While getting a feel of the students' emotions is easier in small settings, it is much more difficult in larger groups. In these larger settings textual feedback from students could provide…

Machine learning approaches to analysing textual injury surveillance data: a systematic review.

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Vallmuur, Kirsten

2015-06-01

To synthesise recent research on the use of machine learning approaches to mining textual injury surveillance data. Systematic review. The electronic databases which were searched included PubMed, Cinahl, Medline, Google Scholar, and Proquest. The bibliography of all relevant articles was examined and associated articles were identified using a snowballing technique. For inclusion, articles were required to meet the following criteria: (a) used a health-related database, (b) focused on injury-related cases, AND used machine learning approaches to analyse textual data. The papers identified through the search were screened resulting in 16 papers selected for review. Articles were reviewed to describe the databases and methodology used, the strength and limitations of different techniques, and quality assurance approaches used. Due to heterogeneity between studies meta-analysis was not performed. Occupational injuries were the focus of half of the machine learning studies and the most common methods described were Bayesian probability or Bayesian network based methods to either predict injury categories or extract common injury scenarios. Models were evaluated through either comparison with gold standard data or content expert evaluation or statistical measures of quality. Machine learning was found to provide high precision and accuracy when predicting a small number of categories, was valuable for visualisation of injury patterns and prediction of future outcomes. However, difficulties related to generalizability, source data quality, complexity of models and integration of content and technical knowledge were discussed. The use of narrative text for injury surveillance has grown in popularity, complexity and quality over recent years. With advances in data mining techniques, increased capacity for analysis of large databases, and involvement of computer scientists in the injury prevention field, along with more comprehensive use and description of quality

Integration and Task Allocation: Evidence from Patient Care.

Science.gov (United States)

David, Guy; Rawley, Evan; Polsky, Daniel

2013-01-01

Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings.

Integration and Task Allocation: Evidence from Patient Care*

Science.gov (United States)

David, Guy; Rawley, Evan; Polsky, Daniel

2013-01-01

Using the universe of patient transitions from inpatient hospital care to skilled nursing facilities and home health care in 2005, we show how integration eliminates task misallocation problems between organizations. We find that vertical integration allows hospitals to shift patient recovery tasks downstream to lower-cost organizations by discharging patients earlier (and in poorer health) and increasing post-hospitalization service intensity. While integration facilitates a shift in the allocation of tasks and resources, health outcomes either improved or were unaffected by integration on average. The evidence suggests that integration solves coordination problems that arise in market exchange through improvements in the allocation of tasks across care settings. PMID:24415893

A produção escrita de alunos com e sem síndrome de Down: uma análise da coerência textual The written production of students with and without Down syndrome: an analysis of textual coherence

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Adriana Leite Limaverde Gomes

2013-03-01

Full Text Available Neste trabalho, analisa-se a coerência textual a partir da reescrita do conto de Rapunzel. Baseia-se em uma abordagem psicogenética da língua escrita. Participaram desse estudo nove alunos, sendo seis com síndrome de Down (Grupo I e os outros três sem deficiência (Grupo II. Eles cursavam entre o 2º e 8º anos do Ensino Fundamental em escolas regulares. O procedimento de produção textual consistiu em um encontro individual, cuja solicitação de produção escrita era precedida pela leitura do conto pela pesquisadora. Os dados indicaram a presença da coerência textual nos dois grupos, embora mais frequente nas produções do grupo II, que demonstrava maior competência com os elementos de coerência textual. O grupo II apresentou estratégias poderosas para mobilizar os recursos cognitivos que permitiram articular conhecimentos anteriores e focalizá-los na produção e articulação de suas ideias no texto. O grupo I, na sua maioria, experimentava dificuldades em elaborar um desfecho em estreita relação com as partes que compunham o texto. Não apresentaram, porém, dificuldades em definir e manter a personagem principal ao longo de toda a história escrita, mesmo quando a história era incoerente se considerarmos outros indicadores. Qualitativamente, os textos dos alunos com síndrome de Down se diferenciaram daqueles produzidos pelo grupo II. Não identificamos, porém, características que podem representar especificidades na produção escrita dos alunos com essa síndrome, visto que alguns alunos com síndrome de Down produziram textos apresentando coerência.This work examines the textual coherence from the rewriting of the tale of Rapunzel. It is based on a psychogenetic approach of written language. Nine students participated in this study, six with Down syndrome (Group I and the other three without disabilities (Group II. They were enrolled between 2nd and 8th years of Primary Education in regular schools. The procedure of

Relational Data Modelling of Textual Corpora: The Skaldic Project and its Extensions

DEFF Research Database (Denmark)

Wills, Tarrin Jon

2015-01-01

Skaldic poetry is a highly complex textual phenomenon both in terms of the intricacy of the poetry and its contextual environment. Extensible Markup Language (XML) applications such as that of the Text Encoding Initiative provide a means of semantic representation of some of these complexities. XML...

Analyzing Student Performance and Attitudes toward Textual versus Iconic Programming Languages

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Lin, Janet Mei-Chuen; Yang, Mei-Ching

2009-01-01

In this study half of 52 sixth graders learned to program in MSWLogo and the other half in Drape. An analysis of students' test scores revealed that Drape (an iconic language) seemed to have a steeper learning curve than MSWLogo (a textual language). However, as students gradually became more familiar with either language, the difference in…

A Linguistic Approach to Identify the Affective Dimension Expressed in Textual Messages

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Rigo, Sandro José; da Rosa Alves, Isa Mara; Victória Barbosa, Jorge Luis

2015-01-01

The digital mediation resources used in Distance Education can hinder the teacher's perception about the student's state of mind. However, the textual expression in natural language is widely encouraged in most Distance Education courses, through the use of Virtual Learning Environments and other digital tools. This fact has motivated research…

Movements and Meanings: Towards an Integrated Approach to Political Discourse Analysis

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Дуглас Марк Понтон

2016-12-01

Full Text Available This chapter has two principal focuses; firstly backwards in time, across some of the high points in the development of political discourse analysis, in order to assess the current state of the field. It also has a future focus, as it attempts to integrate insights from some emerging fields, such as Multimodality, with more consolidated approaches. It has been argued, in many accounts (e.g. Fairclough and Fairclough 2012, that persuasion is the most pervasive function of all political discourse, and most authors agree that the processes involved encompass both textual and non-textual features. An influential early attempt, for example, to describe some non-verbal aspects of persuasive rhetoric was Atkinson (1984, who identified features like the speaker’s voice quality, intonation, posture, body language, eye movements, and so on, as well as some other non-linguistic ‘tricks’. As influential as this work was, however, these features have tended to be omitted from many subsequent accounts of persuasion in political rhetoric, which have concentrated on features of argumentation operating at a strictly textual level.The overall aim of this work is to suggest pathways towards the ambitious goal of developing a usable, integrated model for analysing political discourse. Instead of analysing a single feature such as metaphor (Charteris-Black 2006, parliamentary insults (Ilie 2004, evaluative language or humour (Swain 1999, 2002, the model attempts to combine descriptions of textual and non-verbal/multimodal features of political discourse, in order to provide a practical tool for analytical purposes, and a coherent account of their possible pragmatic effects.

A Didatic Reflection on Distribution of Textual Genres to the Primary School

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João Bosco Figueiredo-Gomes

2015-12-01

Full Text Available Considering the interest on the studies about textual genre and its teaching in the three last decades, the present article presents a report of an analysis of collection of didactic books of Portuguese language of the Primary School II, which aimed at verifying if the didactic book enables a comprehension about different textual genres as for the student, in relation to the context and social use, as well as for the teacher, in relation to parameters in order to do an analysis and choice of didactic collection books. The theoretical methodological framework based mainly in the contributions of Interactionism Socio-discursive: Bronckart (1999, 2003 and Schneuwly and Dolz (2004; in the studies by Marcuschi (2002, 2008 and in the orientations about the teaching of mother language contained in the National Curriculum Guidelines – PCN (BRASIL, 1998. The results provided a reflection that offers param-eters to the analysis, choice and organization of didactic collections, as well as suggestions of pedagogic implementation towards the teaching of Portuguese language.

Classifying unstructed textual data using the Product Score Model: an alternative text mining algorithm

NARCIS (Netherlands)

He, Qiwei; Veldkamp, Bernard P.; Eggen, T.J.H.M.; Veldkamp, B.P.

2012-01-01

Unstructured textual data such as students’ essays and life narratives can provide helpful information in educational and psychological measurement, but often contain irregularities and ambiguities, which creates difficulties in analysis. Text mining techniques that seek to extract useful

Computer-Assisted Search Of Large Textual Data Bases

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Driscoll, James R.

1995-01-01

"QA" denotes high-speed computer system for searching diverse collections of documents including (but not limited to) technical reference manuals, legal documents, medical documents, news releases, and patents. Incorporates previously available and emerging information-retrieval technology to help user intelligently and rapidly locate information found in large textual data bases. Technology includes provision for inquiries in natural language; statistical ranking of retrieved information; artificial-intelligence implementation of semantics, in which "surface level" knowledge found in text used to improve ranking of retrieved information; and relevance feedback, in which user's judgements of relevance of some retrieved documents used automatically to modify search for further information.

Methodology to build medical ontology from textual resources.

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Baneyx, Audrey; Charlet, Jean; Jaulent, Marie-Christine

2006-01-01

In the medical field, it is now established that the maintenance of unambiguous thesauri goes through ontologies. Our research task is to help pneumologists code acts and diagnoses with a software that represents medical knowledge through a domain ontology. In this paper, we describe our general methodology aimed at knowledge engineers in order to build various types of medical ontologies based on terminology extraction from texts. The hypothesis is to apply natural language processing tools to textual patient discharge summaries to develop the resources needed to build an ontology in pneumology. Results indicate that the joint use of distributional analysis and lexico-syntactic patterns performed satisfactorily for building such ontologies.

Evidence-based music therapy practice: an integral understanding.

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Abrams, Brian

2010-01-01

The American Music Therapy Association has recently put into action a plan called its Research Strategic Priority, with one of its central purposes to advance the music therapy field through research promoting Evidence-Based Practice of music therapy. The extant literature on music therapy practice, theory, and research conveys a range of very different perspectives on what may count as the "evidence" upon which practice is based. There is therefore a need to conceptualize evidence-based music therapy practice in a multifaceted, yet coherent and balanced way. The purpose of this paper is to illustrate a framework based upon four distinct epistemological perspectives on evidence-based music therapy practice that together represent an integral understanding.

Use of a Modified Chaining Procedure with Textual Prompts to Establish Intraverbal Storytelling

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Valentino, Amber L.; Conine, Daniel E.; Delfs, Caitlin H.; Furlow, Christopher M.

2015-01-01

Echoic, tact, and textual transfer procedures have been proven successful in establishing simple intraverbals (Braam and Poling "Applied Research in Mental Retardation," 4, 279-302, 1983; Luciano "Applied Research in Mental Retardation," 102, 346-357, 1986; Watkins et al. "The Analysis of Verbal Behavior," 7, 69-81,…

Integrating research evidence and physical activity policy making-REPOPA project

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Aro, A.R.; Bertram, M.; Hamalainen, R.-M.; van de Goor, L.A.M.; Skovgaard, T.; Valente, A.; Castellani, T.; Chereches, R.; Edwards, N.

2016-01-01

Evidence shows that regular physical activity is enhanced by supporting environment. Studies are needed to integrate research evidence into health enhancing, cross-sector physical activity (HEPA) policy making. This article presents the rationale, study design, measurement procedures and the initial

Perceptions and Beliefs about Textual Appropriation and Source Use in Second Language Writing

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Polio, Charlene; Shi, Ling

2012-01-01

Perceptions and judgments on plagiarism or acceptable use of source texts are contingent on one's interpretations and experiences in reading and writing academic texts in a specific disciplinary context. The lack of consensus on what is acceptable textual appropriation in student writing has led to the scholarship on perceptions of textual…

Arguing in L2: Discourse Structure and Textual Metadiscourse in Philippine Newspaper Editorials

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Tarrayo, Veronico N.; Duque, Marie Claire T.

2011-01-01

This study described the discourse structure and textual metadiscourse in newspaper editorials in the Philippines where English is used as a second language or L2. Specifically, it sought answers to the following questions: (1) What discourse features characterize the structure of the following parts of Philippine newspaper editorials--orientation…

Textual and shape-based feature extraction and neuro-fuzzy classifier for nuclear track recognition

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Khayat, Omid; Afarideh, Hossein

2013-04-01

Track counting algorithms as one of the fundamental principles of nuclear science have been emphasized in the recent years. Accurate measurement of nuclear tracks on solid-state nuclear track detectors is the aim of track counting systems. Commonly track counting systems comprise a hardware system for the task of imaging and software for analysing the track images. In this paper, a track recognition algorithm based on 12 defined textual and shape-based features and a neuro-fuzzy classifier is proposed. Features are defined so as to discern the tracks from the background and small objects. Then, according to the defined features, tracks are detected using a trained neuro-fuzzy system. Features and the classifier are finally validated via 100 Alpha track images and 40 training samples. It is shown that principle textual and shape-based features concomitantly yield a high rate of track detection compared with the single-feature based methods.

Historical evidence for a pre-Columbian presence of Datura

Indian Academy of Sciences (India)

2007-12-04

Dec 4, 2007 ... Further, the textual evidence traditionally cited in support of a pre-Columbian Old World presence of Datura species is suggested to be due to the misreading of classical Greek and Arabic sources. As a result, botanists generally accept the opinion that Datura species were transferred into the Old World in ...

Evidence-based integrative medicine in clinical veterinary oncology.

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Raditic, Donna M; Bartges, Joseph W

2014-09-01

Integrative medicine is the combined use of complementary and alternative medicine with conventional or traditional Western medicine systems. The demand for integrative veterinary medicine is growing, but evidence-based research on its efficacy is limited. In veterinary clinical oncology, such research could be translated to human medicine, because veterinary patients with spontaneous tumors are valuable translational models for human cancers. An overview of specific herbs, botanics, dietary supplements, and acupuncture evaluated in dogs, in vitro canine cells, and other relevant species both in vivo and in vitro is presented for their potential use as integrative therapies in veterinary clinical oncology. Published by Elsevier Inc.

A New Framework for Textual Information Mining over Parse Trees. CRESST Report 805

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Mousavi, Hamid; Kerr, Deirdre; Iseli, Markus R.

2011-01-01

Textual information mining is a challenging problem that has resulted in the creation of many different rule-based linguistic query languages. However, these languages generally are not optimized for the purpose of text mining. In other words, they usually consider queries as individuals and only return raw results for each query. Moreover they…

Functional brain networks underlying detection and integration of disconfirmatory evidence.

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Lavigne, Katie M; Metzak, Paul D; Woodward, Todd S

2015-05-15

Processing evidence that disconfirms a prior interpretation is a fundamental aspect of belief revision, and has clear social and clinical relevance. This complex cognitive process requires (at minimum) an alerting stage and an integration stage, and in the current functional magnetic resonance imaging (fMRI) study, we used multivariate analysis methodology on two datasets in an attempt to separate these sequentially-activated cognitive stages and link them to distinct functional brain networks. Thirty-nine healthy participants completed one of two versions of an evidence integration experiment involving rating two consecutive animal images, both of which consisted of two intact images of animal faces morphed together at different ratios (e.g., 70/30 bird/dolphin followed by 10/90 bird/dolphin). The two versions of the experiment differed primarily in terms of stimulus presentation and timing, which facilitated functional interpretation of brain networks based on differences in the hemodynamic response shapes between versions. The data were analyzed using constrained principal component analysis for fMRI (fMRI-CPCA), which allows distinct, simultaneously active task-based networks to be separated, and these were interpreted using both temporal (task-based hemodynamic response shapes) and spatial (dominant brain regions) information. Three networks showed increased activity during integration of disconfirmatory relative to confirmatory evidence: (1) a network involved in alerting to the requirement to revise an interpretation, identified as the salience network (dorsal anterior cingulate cortex and bilateral insula); (2) a sensorimotor response-related network (pre- and post-central gyri, supplementary motor area, and thalamus); and (3) an integration network involving rostral prefrontal, orbitofrontal and posterior parietal cortex. These three networks were staggered in their peak activity (alerting, responding, then integrating), but at certain time points (e

The Influence of Wittgenstein’s Philosophy of Language on the Textual Production of the Vienna Group

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Luka Bešlagić

2016-04-01

Full Text Available The entirety of Wittgenstein’s problematization of language was of particular importance for numerous Austrian postwar artists and art movements, but was possibly most evident in the poetics and heterogeneous practices of the Vienna Group. Analysis of selected texts of the latter neo-avantgarde movement – namely, Konrad Bayer’s the philosopher’s stone1 (1963 and Oswald Wiener’s the improvement of central europe, novel (1969 – unveils the direct influence of both of the early and late Wittgenstein, paradigmatically represented by his two major books: Tractatus Logico-Philosophicus (1921 and Philosophical Investigations (1953. Texts of the Vienna Group to which this article refers to are not interpreted as literary works, but rather as diverse examples of textual production; instead of being analyzed as aesthetic objects, these texts are examined as platforms of potential inscription of Wittgensteinian critique of language.

The Text's the Thing: Using (Neglected) Issues of Textual Scholarship to Help Students Reimagine Shakespeare

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Parsons, Scott

2009-01-01

Do individuals know what words Shakespeare actually wrote? Exploring these issues can yield dramatic interest. With references to Shakespeare's Quartos and Folios, the author examines key textual issues and discrepancies in classroom studies of "Hamlet." (Contains 8 notes.)

How Well Do Student Nurses Write Case Studies? A Cohesion-Centered Textual Complexity Analysis

NARCIS (Netherlands)

Dascalu, Mihai; Dessus, Philippe; Thuez, Laurent; Trausan-Matu, Stefan

2017-01-01

Starting from the presumption that writing style is proven to be a reliable predictor of comprehension, this paper investigates the extent to which textual complexity features of nurse students’ essays are related to the scores they were given. Thus, forty essays about case studies on infectious

Antiabecedarian Desires: Odd Narratology and Digital Textuality

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Asunción López-Varela Azcárate

2014-05-01

Full Text Available Los sistemas de escritura rompen barreras temporales y permiten compartir conocimiento y preservarlo. Como si fuesen organismos vivos, las estructuras narratológicas que conforman la comunicación textual crecen a partir de principios de orden y formas de codificación cuyas raíces retroceden hasta un proto-alfabeto de origen semítico. Sin embargo, la historia literaria incluye muchos ejemplos que, cual virus, han buscado quebrantar el cuerpo de la textualidad alfabética. Este ensayo estudia tres artistas fundamentales, James Joyce, Jorge Luis Borges,William Burroughs, junto con varias obras contemporáneas de literatura electrónica. Todos ellos ponen en cuestión los principios organizativos alfabéticos y anticipan el debate sobre la importancia o no de las estructuras lineales en los sistemas de representación.

A computational framework for converting textual clinical diagnostic criteria into the quality data model.

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Hong, Na; Li, Dingcheng; Yu, Yue; Xiu, Qiongying; Liu, Hongfang; Jiang, Guoqian

2016-10-01

Constructing standard and computable clinical diagnostic criteria is an important but challenging research field in the clinical informatics community. The Quality Data Model (QDM) is emerging as a promising information model for standardizing clinical diagnostic criteria. To develop and evaluate automated methods for converting textual clinical diagnostic criteria in a structured format using QDM. We used a clinical Natural Language Processing (NLP) tool known as cTAKES to detect sentences and annotate events in diagnostic criteria. We developed a rule-based approach for assigning the QDM datatype(s) to an individual criterion, whereas we invoked a machine learning algorithm based on the Conditional Random Fields (CRFs) for annotating attributes belonging to each particular QDM datatype. We manually developed an annotated corpus as the gold standard and used standard measures (precision, recall and f-measure) for the performance evaluation. We harvested 267 individual criteria with the datatypes of Symptom and Laboratory Test from 63 textual diagnostic criteria. We manually annotated attributes and values in 142 individual Laboratory Test criteria. The average performance of our rule-based approach was 0.84 of precision, 0.86 of recall, and 0.85 of f-measure; the performance of CRFs-based classification was 0.95 of precision, 0.88 of recall and 0.91 of f-measure. We also implemented a web-based tool that automatically translates textual Laboratory Test criteria into the QDM XML template format. The results indicated that our approaches leveraging cTAKES and CRFs are effective in facilitating diagnostic criteria annotation and classification. Our NLP-based computational framework is a feasible and useful solution in developing diagnostic criteria representation and computerization. Copyright © 2016 Elsevier Inc. All rights reserved.

The Navigation Guide—Evidence-Based Medicine Meets Environmental Health: Integration of Animal and Human Evidence for PFOA Effects on Fetal Growth

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Koustas, Erica; Sutton, Patrice; Johnson, Paula I.; Atchley, Dylan S.; Sen, Saunak; Robinson, Karen A.; Axelrad, Daniel A.; Woodruff, Tracey J.

2014-01-01

Background: The Navigation Guide is a novel systematic review method to synthesize scientific evidence and reach strength of evidence conclusions for environmental health decision making. Objective: Our aim was to integrate scientific findings from human and nonhuman studies to determine the overall strength of evidence for the question “Does developmental exposure to perfluorooctanoic acid (PFOA) affect fetal growth in humans?” Methods: We developed and applied prespecified criteria to systematically and transparently a) rate the quality of the scientific evidence as “high,” “moderate,” or “low”; b) rate the strength of the human and nonhuman evidence separately as “sufficient,” “limited,” “moderate,” or “evidence of lack of toxicity”; and c) integrate the strength of the human and nonhuman evidence ratings into a strength of the evidence conclusion. Results: We identified 18 epidemiology studies and 21 animal toxicology studies relevant to our study question. We rated both the human and nonhuman mammalian evidence as “moderate” quality and “sufficient” strength. Integration of these evidence ratings produced a final strength of evidence rating in which review authors concluded that PFOA is “known to be toxic” to human reproduction and development based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. Conclusion: We concluded that developmental exposure to PFOA adversely affects human health based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. The results of this case study demonstrate the application of a systematic and transparent methodology, via the Navigation Guide, for reaching strength of evidence conclusions in environmental health. Citation: Lam J, Koustas E, Sutton P, Johnson PI, Atchley DS, Sen S, Robinson KA, Axelrad DA, Woodruff TJ. 2014. The Navigation Guide—evidence-based medicine meets environmental health

Sharing information books with kindergartners: The role of parents’ extra-textual talk and socioeconomic status

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Mol, S.E.; Neuman, S.B.

2014-01-01

The purpose of the study was to explore how features of parent-child extra-textual talk during information book-sharing might vary across different socioeconomic backgrounds, and to determine if certain interactional patterns might mediate their effects on children's receptive and expressive

The Navigation Guide - evidence-based medicine meets environmental health: integration of animal and human evidence for PFOA effects on fetal growth.

Science.gov (United States)

Lam, Juleen; Koustas, Erica; Sutton, Patrice; Johnson, Paula I; Atchley, Dylan S; Sen, Saunak; Robinson, Karen A; Axelrad, Daniel A; Woodruff, Tracey J

2014-10-01

The Navigation Guide is a novel systematic review method to synthesize scientific evidence and reach strength of evidence conclusions for environmental health decision making. Our aim was to integrate scientific findings from human and nonhuman studies to determine the overall strength of evidence for the question "Does developmental exposure to perfluorooctanoic acid (PFOA) affect fetal growth in humans?" We developed and applied prespecified criteria to systematically and transparently a) rate the quality of the scientific evidence as "high," "moderate," or "low"; b) rate the strength of the human and nonhuman evidence separately as "sufficient," "limited," "moderate," or "evidence of lack of toxicity"; and c) integrate the strength of the human and nonhuman evidence ratings into a strength of the evidence conclusion. We identified 18 epidemiology studies and 21 animal toxicology studies relevant to our study question. We rated both the human and nonhuman mammalian evidence as "moderate" quality and "sufficient" strength. Integration of these evidence ratings produced a final strength of evidence rating in which review authors concluded that PFOA is "known to be toxic" to human reproduction and development based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. We concluded that developmental exposure to PFOA adversely affects human health based on sufficient evidence of decreased fetal growth in both human and nonhuman mammalian species. The results of this case study demonstrate the application of a systematic and transparent methodology, via the Navigation Guide, for reaching strength of evidence conclusions in environmental health.

Comprensión y Producción Textual Narrativa en Estudiantes de Educación Primaria

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LEIDY TATIANA GUZMÁN TORRES

2015-01-01

Full Text Available Por medio de un enfoque mixto, se caracterizó la comprensión y producción textual narrativa en estudiantes de educación primaria (primero y segundo grado, así como aspectos psicosociales (valor social de la lectura y hábito lector y contextuales (interacciones cognitivas y afectivas docente-niños en docentes de educación primaria de tres instituciones educativas. Se encontró que los estudiantes tuvieron un desempeño medio alto en producción textual y comprensión literal, y bajo en comprensión inferencial. Además, se observó que la mayoría de las docentes son lectoras ocasionales, emplean interacciones cognitivas unidireccionales, ofrecen un mediano apoyo emocional a sus estudiantes y valoran la lectura como una herramienta instrumental y lúdica.

Textual Transformations in Contemporary Black Writing in Britain

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Jawhar Ahmed Dhouib

2014-04-01

Full Text Available While the first wave of Caribbean immigrant writers brilliantly explored race-related issues, black Britons like Andrea Levy, Zadie Smith and Caryl Phillips, among others, have sought to depart from earlier fiction, motivated in their project by the changing white face of Britain. In this article, I would like to argue that cultural change in Britain has deeply influenced literary production and has, consequently, laid the ground for a series of textual transformations. To capture instances of creative excess in contemporary black writing in Britain, I will bring under examination Caryl Phillips’s (2009 novel In the Falling Snow. My intention is to show to what extent Phillips’s work surpasses the ‘noose of race’ and already-familiar representations of multicultural Britain to celebrate a ‘post-racial’ society.

Integrating research evidence and physical activity policy making

DEFF Research Database (Denmark)

Aro, Arja R.; Bertram, Maja; Hämäläinen, Riitta-Maija

2016-01-01

Evidence shows that regular physical activity is enhanced by supporting environment. Studies are needed to integrate research evidence into health enhancing, cross-sector physical activity (HEPA) policy making. This article presents the rationale, study design, measurement procedures...... and the initial results of the first phase of six European countries in a five-year research project (2011-2016), REsearch into POlicy to enhance Physical Activity (REPOPA). REPOPA is programmatic research; it consists of linked studies; the first phase studied the use of evidence in 21 policies in implementation...... to learn more in depth from the policy making process and carried out 86 qualitative stakeholder interviews. The second, ongoing phase builds on the central findings of the first phase in each country; it consists of two sets of interventions: game simulations to study cross-sector collaboration...

Integrating evidence-based practice into RN-to-BSN clinical nursing education.

Science.gov (United States)

Oh, Eui Geum; Kim, Sunah; Kim, So Sun; Kim, Sue; Cho, Eun Yong; Yoo, Ji-Soo; Kim, Hee Soon; Lee, Ju Hee; You, Mi Ae; Lee, Hyejung

2010-07-01

This study examines the effects of integrating evidence-based practice (EBP) into clinical practicum on EBP efficacy and barriers to research utilization among Korean RN-to-BSN students. A one-group pretest-posttest design was used. Eighty-one students were recruited from a school of nursing in Korea. Evidence-based practice clinical practicum was composed of two consecutive programs during one semester. Lectures, individual mentoring on EBP practicum, small group, and wrap-up conferences were provided. Outcomes of EBP efficacy and barriers to research utilization were analyzed using paired t tests for 74 final participants. Evidence-based practice efficacy scores increased significantly (p effectiveness of EBP education among RN-to-BSN students. These results may help health educators develop effective educational strategies to integrate EBP concepts into a clinical practicum. Copyright 2010, SLACK Incorporated.

As funções dos tipos textuais no interior do gênero discurso de propaganda The functions of the textual types in the gender advertising speech

Directory of Open Access Journals (Sweden)

Waldivia Maria de Jesus

2010-01-01

Full Text Available Este artigo propõe refletir acerca do ensino de leitura e escrita pela abordagem de gêneros, com foco nas funções que os tipos textuais desempenham no interior do gênero discurso de propaganda. Reflete-se sobre problemas que envolvem a conceitualização de gênero textual / gênero de discurso, tipos textuais / formas textuais, com ênfase na definição de gênero mais adequada ao ensino. O corpus desses estudos constitui-se de uma peça publicitária veiculada no jornal Folha de S. Paulo. E as reflexões se ancoram no Funcionalismo (HALLIDAY, 1985, na Semântica Pragmática (VAN DIJK, 1978 e na Análise do Discurso (MAINGUENEAU, 2002.This article proposes a reflection about the teaching of reading and writing on the genre approach, focusing on the function that textual types play within the genre advertising discourse. It reflects on issues surrounding the conceptualization of textual genre / discourse genre, textual types / textual forms, observing the most appropriate definition of genre to teach mother language. The studied corpus is constituted by an advertising piece published in Folha de S. Paulo. And the reflections rest on the Functionalism (HALLIDAY, 1985, on the Semantic Pragmatic (VAN DIJK, 1979, on the Discourse Analysis (MAINGUENEAU, 2002.

Towards a textual history of La Galatea

Directory of Open Access Journals (Sweden)

Juan Montero

2010-12-01

Full Text Available Studying the different printings and editions of La Galatea allows one to establish the work’s textual history. The present study seeks to accomplish this, following this pattern: a the princeps of 1585; b early printings from 1590-1618 and from the book’s editorial resurgence from 1736-1846; c the editions from 1863 until today and the foundations of a critical edition. The following conclusions are proposed: a the princeps is the closest text to the author’s intention, but contains errors that any editor should identify and correct, if possible; b the editions that date from 1590-1846 include useful readings in that endeavor; c modern editions of La Galatea have erred in general in an exaggerated fidelity to the princeps, with the exception of the one by C. Rosell in 1863, in which other printings were taken into account and the text was emended, even excessively.

Cocuyo: Una Matriz de identidad y su despliegue en submunrlos textuales

OpenAIRE

Cristián Montes

2016-01-01

El presente artículo intenta actualizar una lectura coherente de la novela Cocuyo. Para esto, se ha trabajado con la idea de matriz propuesta por Michael Riffatene, y de mundo posible de Tomás Albaladejo Mayordomo. Ambas teorías permiten dar cuenta del problema de la identidad desde ángulos complementarios y a partir del motivo del viaje. De este modo puede apreciarse que la matríz propuesta es desplegada en los diversos submundos textuales los cuales, a su vez, develan la imagen de mundo y d...

SECRETARIAT AND TEXTUAL PRODUCTION: ARGUMENTATION IN THE TEXTUAL GENRE LETTER OF DECLARATION O SECRETARIADO E A PRODUÇÃO TEXTUAL: A ARGUMENTAÇÃO NO GÊNERO DECLARAÇÃO

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Erivaldo Pereira do Nascimento

2012-05-01

Full Text Available

This article aims at describing the semantic argumentative structure of the textual/discursive genre Letter of Declaration, one of the documents with which the executive secretary frequently deals. This investigation is based on the Argumention Theory in the Language proposed by Ducrot (1988,1987. We also used the studies about Discursive Modalization proposed by Koch (2002, Castilho e Castilho (1993, Nascimento (2005, among others. Modalization is considered here as a semantic argumentative strategy, as it enables the speaker to make a statement or to express a point of view about the content of his/her enunciation, according to the interlocution. This study about the previously mentioned gender is qualitative, quantitative and descriptive. The corpus used is composed of 20 (twenty Letters of Declaration issued by different organizations or private and public institutions. We perceived that in the Letters of Declaration analysed argumentation is achieved by the use of modalizers and argumentative operators, used by the speaker to produce different effects of meaning in the texts.

Este artigo tem como objetivo descrever a estrutura semântico-argumentativa do gênero textual/discursivo declaração, um dos documentos com o qual o profissional de Secretariado lida frequentemente. Essa investigação tem como base a Teoria da Argumentação na Língua, proposta por Ducrot (1988, 1987. Utilizamos também os estudos de Modalização Discursiva, proposta por Koch (2002, Castilho e Castilho (1993, Nascimento (2005, entre outros. A modalização é aqui considerada como uma estratégia semântico-argumentativa, uma vez que permite ao locutor imprimir uma avaliação ou ponto de vista sobre o conteúdo de seu enunciado, em função da interlocução. A investigação realizada a respeito do referido gênero é de natureza qualitativa e quantitativa, de cunho descritivo, e o corpus utilizado é constituído por 20

Exploring the Textual Metafunction in a Biblical-Fictional Parable in Ngũgĩ wa Thiong’o’s Devil on the Cross

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Yémalo C. Amoussou

2016-09-01

Full Text Available This paper explores the textual metafunctional patterns in two fictional versions of a Biblical Parable in Ngũgĩ wa Thiong’o’s novel Devil on the Cross (1982 in order to find the similarities and differences between their compositional features. It critically draws on the theory of systemic functional linguistics expounded by specialists like Halliday (1994, Halliday and Matthiessen (2004 and Eggins (2004 to overview the theoretical background to the study, with focus on the grammar of textual meaning, proposes a new Theme classification and uses it to analyze the Thematic structure and taxis system of the two extracts. The researcher has come to the conclusion that, though they are initially spoken, these texts show such interesting textual-meaning properties as the density of ellipsis, of circumstantial and interpersonal thematization, of taxis and rank shift that they should be qualified to belong to both spoken and written mode of discourse.

Textual healing: tailor-made kabbalistic therapeutics in Jerusalem.

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Guzmen-Carmeli, Shlomo; Sharabi, Asaf

2017-10-30

This paper, based on fieldwork conducted in a Jerusalem yeshiva, describes how the yeshiva, a traditional institute of religious studies, also serves as an institution of healing and personal therapy in which sacred religious texts assume a central place. The article focuses on personal sessions between the rabbi who heads the yeshiva, and his audience of believers who turn to him for help in coping with personal hardships and tribulations. The paper contextualizes and elaborates upon the concept of 'deep healing' to describe how the rabbi uses his regular 'tool kit' to diagnose the problems of the person facing him and to offer optimal, personalized therapy. The rabbi uses religious texts to create textual deep healing processes that are tailor-made for the individual supplicant and are intended to accompany supplicants for a long period of time.

The effects of integrated care: a systematic review of UK and international evidence.

Science.gov (United States)

Baxter, Susan; Johnson, Maxine; Chambers, Duncan; Sutton, Anthea; Goyder, Elizabeth; Booth, Andrew

2018-05-10

Healthcare systems around the world have been responding to the demand for better integrated models of service delivery. However, there is a need for further clarity regarding the effects of these new models of integration, and exploration regarding whether models introduced in other care systems may achieve similar outcomes in a UK national health service context. The study aimed to carry out a systematic review of the effects of integration or co-ordination between healthcare services, or between health and social care on service delivery outcomes including effectiveness, efficiency and quality of care. Electronic databases including MEDLINE; Embase; PsycINFO; CINAHL; Science and Social Science Citation Indices; and the Cochrane Library were searched for relevant literature published between 2006 to March 2017. Online sources were searched for UK grey literature, and citation searching, and manual reference list screening were also carried out. Quantitative primary studies and systematic reviews, reporting actual or perceived effects on service delivery following the introduction of models of integration or co-ordination, in healthcare or health and social care settings in developed countries were eligible for inclusion. Strength of evidence for each outcome reported was analysed and synthesised using a four point comparative rating system of stronger, weaker, inconsistent or limited evidence. One hundred sixty seven studies were eligible for inclusion. Analysis indicated evidence of perceived improved quality of care, evidence of increased patient satisfaction, and evidence of improved access to care. Evidence was rated as either inconsistent or limited regarding all other outcomes reported, including system-wide impacts on primary care, secondary care, and health care costs. There were limited differences between outcomes reported by UK and international studies, and overall the literature had a limited consideration of effects on service users. Models of

Evaluating the effects of massed and distributed practice on acquisition and maintenance of tacts and textual behavior with typically developing children.

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Haq, Shaji S; Kodak, Tiffany

2015-01-01

This study evaluated the effects of massed and distributed practice on the acquisition of tacts and textual behavior in typically developing children. We compared the effects of massed practice (i.e., consolidating all practice opportunities during the week into a single session) and distributed practice (i.e., distributing all practice opportunities across 4 sessions during the week) on the acquisition of textual behavior in English, tacting pictures of common nouns in Spanish, and textual behavior in Spanish using an adapted alternating treatments design embedded within a multiple probe design. We also examined correct responding during probes that (a) excluded prompts and reinforcement and (b) occurred 48 hr after training each week. The results indicated that distributed practice was the more efficient training format. Maintenance data collected up to 4 weeks after training also indicated that the participants consistently displayed higher levels of correct responding to targets that had been trained in distributed format. We discuss implications for practice and potential areas for future research. © Society for the Experimental Analysis of Behavior.

Textual and chemical information processing: different domains but similar algorithms

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Peter Willett

2000-01-01

Full Text Available This paper discusses the extent to which algorithms developed for the processing of textual databases are also applicable to the processing of chemical structure databases, and vice versa. Applications discussed include: an algorithm for distribution sorting that has been applied to the design of screening systems for rapid chemical substructure searching; the use of measures of inter-molecular structural similarity for the analysis of hypertext graphs; a genetic algorithm for calculating term weights for relevance feedback searching for determining whether a molecule is likely to exhibit biological activity; and the use of data fusion to combine the results of different chemical similarity searches.

How Strong Is Your Coffee? The Influence of Visual Metaphors and Textual Claims on Consumers' Flavor Perception and Product Evaluation.

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Fenko, Anna; de Vries, Roxan; van Rompay, Thomas

2018-01-01

This study investigates the relative impact of textual claims and visual metaphors displayed on the product's package on consumers' flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment ( N = 123) compared the effects of visual metaphor of strength (an image of a lion located either on top or on the bottom of the package of coffee beans) and the direct textual claim ("extra strong") on consumers' responses to coffee, including product expectation, flavor evaluation, strength perception and purchase intention. The results demonstrate that both the textual claim and the visual metaphor can be efficient in communicating the product attribute of strength. The presence of the image positively influenced consumers' product expectations before tasting. The textual claim increased the perception of strength of coffee and the purchase intention of the product. The location of the image also played an important role in flavor perception and purchase intention. The image located on the bottom of the package increased the perceived strength of coffee and purchase intention of the product compared to the image on top of the package. This result could be interpreted from the perspective of the grounded cognition theory, which suggests that a picture in the lower part of the package would automatically activate the "strong is heavy" metaphor. As heavy objects are usually associated with a position on the ground, this would explain why perceiving a visually heavy package would lead to the experience of a strong coffee. Further research is needed to better understand the relationships between a metaphorical image and its spatial position in food packaging design.

Integration of Evidence Base into a Probabilistic Risk Assessment

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Saile, Lyn; Lopez, Vilma; Bickham, Grandin; Kerstman, Eric; FreiredeCarvalho, Mary; Byrne, Vicky; Butler, Douglas; Myers, Jerry; Walton, Marlei

2011-01-01

INTRODUCTION: A probabilistic decision support model such as the Integrated Medical Model (IMM) utilizes an immense amount of input data that necessitates a systematic, integrated approach for data collection, and management. As a result of this approach, IMM is able to forecasts medical events, resource utilization and crew health during space flight. METHODS: Inflight data is the most desirable input for the Integrated Medical Model. Non-attributable inflight data is collected from the Lifetime Surveillance for Astronaut Health study as well as the engineers, flight surgeons, and astronauts themselves. When inflight data is unavailable cohort studies, other models and Bayesian analyses are used, in addition to subject matters experts input on occasion. To determine the quality of evidence of a medical condition, the data source is categorized and assigned a level of evidence from 1-5; the highest level is one. The collected data reside and are managed in a relational SQL database with a web-based interface for data entry and review. The database is also capable of interfacing with outside applications which expands capabilities within the database itself. Via the public interface, customers can access a formatted Clinical Findings Form (CLiFF) that outlines the model input and evidence base for each medical condition. Changes to the database are tracked using a documented Configuration Management process. DISSCUSSION: This strategic approach provides a comprehensive data management plan for IMM. The IMM Database s structure and architecture has proven to support additional usages. As seen by the resources utilization across medical conditions analysis. In addition, the IMM Database s web-based interface provides a user-friendly format for customers to browse and download the clinical information for medical conditions. It is this type of functionality that will provide Exploratory Medicine Capabilities the evidence base for their medical condition list

Implementing the Integrated Strategy for the Cultural Adaptation of Evidence-Based Interventions: An Illustration.

Science.gov (United States)

Sidani, Souraya; Ibrahim, Sarah; Lok, Jana; Fan, Lifeng; Fox, Mary

2018-01-01

Background Persons' cultural beliefs about a health problem can affect their perceived acceptability of evidence-based interventions, undermining evidence-based interventions' adherence, and uptake to manage the problem. Cultural adaptation has the potential to enhance the acceptability, uptake, and adherence to evidence-based interventions. Purpose To illustrate the implementation of the first two phases of the integrated strategy for cultural adaptation by examining Chinese Canadians' perceptions of chronic insomnia and evidence-based behavioral therapies for insomnia. Methods Chinese Canadians ( n = 14) with chronic insomnia attended a group session during which they completed established instruments measuring beliefs about sleep and insomnia, and their perceptions of factors that contribute to chronic insomnia. Participants rated the acceptability of evidence-based behavioral therapies and discussed their cultural perspectives regarding chronic insomnia and its treatment. Results Participants actively engaged in the activities planned for the first two phases of the integrated strategy and identified the most significant factor contributing to chronic insomnia and the evidence-based intervention most acceptable for their cultural group. Conclusions The protocol for implementing the two phases of the integrated strategy for cultural adaptation of evidence-based interventions was feasible, acceptable, and useful in identifying culturally relevant evidence-based interventions.

Expressing emotions in blogs : The role of textual paralinguistic cues in online venting and social sharing posts

NARCIS (Netherlands)

Rodríguez-Hidalgo, Carmina; Tan, Ed S.H.; Verlegh, Peeter W.J.

2017-01-01

Textual paralanguage cues (TPC) have been signaled as effective emotion transmitters online. Though several studies have investigated their properties and occurrence, there remains a gap concerning their communicative impact within specific psychological processes, such as the social sharing of

Comprensión y producción textual narrativa en preescolares

OpenAIRE

Luz Stella López Silva; Claudia Patricia Duque Aristizabal; Gina Lizeth Camargo Deluque; Amalia Ovalle Parra

2014-01-01

Este estudio buscó identificar y describir las habilidades de comprensión y producción textual narrativa de 158 estudiantes de transición de estrato 1 y 2 de colegios públicos de la ciudad de Barranquilla (Colombia). Para evaluar esta capacidad se les pidió a los niños que narraran un texto que se les había leído anteriormente. Las muestras de lenguaje se analizaron utilizando el software SALT y posteriormente se utilizó el software SPSS para realizar los análisis descriptivos. Se consideró l...

Redemptive Family Narratives: Olga Lengyel and the Textuality of the Holocaust*

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Turda, Marius

2016-01-01

Memoirs written by Holocaust survivors and (in some cases) their testimonies retain a salience unmatched by other historical sources. This article discusses one such memoir, Olga Lengyel’s Five Chimneys, alongside her 1998 testimony, aiming to engage with broader methodological issues relating to the history of the Holocaust, particularly those about memory, narrative and textuality. Through a detailed discussion of certain moments shaping Olga Lengyel’s personal experience, both pre-and post-arrival in Auschwitz, the article captures the tensions and contradictions characterizing the harrowing story of one woman’s loss of family in the Holocaust. PMID:27959969

Algunas consideraciones sobre la economía textual

Directory of Open Access Journals (Sweden)

Lic. Carlos Lázaro Nodals García

2016-03-01

Full Text Available l artículo aborda el fenómeno de la proliferación de nuevos textos en las redes sociales, otras plataformas interactivas y equipos donde se aplican las tecnologías de la información y la comunicación. Se hace un análisis de sus características, contextos en que se producen y la escritura con economía textual, como centro de un debate entre las posiciones que la rechazan o exponen los problemas que puede originar en el ámbito del respeto a la lengua materna, los que ven en los mismos un fenómeno objetivo, que es necesario asimilar además de contextualizar, entre los que se encuentran los autores del trabajo, que incluso aprecian su dominio, como parte de las competencias culturales y comunicativas del profesional proactivo del siglo XXI.

Teach for America's Long Arc: A Critical Race Theory Textual Analysis of Wendy Kopp's Works

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Barnes, Michael C.; Germain, Emily K.; Valenzuela, Angela

2016-01-01

We read and analyzed 165,000 words and uncover a series of counter-stories buried within a textual corpus, authored by Teach For America (TFA) founder Wendy Kopp (Kopp, 1989, 2001; Kopp & Farr, 2011), that offers insight into the forms of racism endemic to Teach For America. All three counter-stories align with a critical race theory (CRT)…

Continuous track paths reveal additive evidence integration in multistep decision making.

Science.gov (United States)

Buc Calderon, Cristian; Dewulf, Myrtille; Gevers, Wim; Verguts, Tom

2017-10-03

Multistep decision making pervades daily life, but its underlying mechanisms remain obscure. We distinguish four prominent models of multistep decision making, namely serial stage, hierarchical evidence integration, hierarchical leaky competing accumulation (HLCA), and probabilistic evidence integration (PEI). To empirically disentangle these models, we design a two-step reward-based decision paradigm and implement it in a reaching task experiment. In a first step, participants choose between two potential upcoming choices, each associated with two rewards. In a second step, participants choose between the two rewards selected in the first step. Strikingly, as predicted by the HLCA and PEI models, the first-step decision dynamics were initially biased toward the choice representing the highest sum/mean before being redirected toward the choice representing the maximal reward (i.e., initial dip). Only HLCA and PEI predicted this initial dip, suggesting that first-step decision dynamics depend on additive integration of competing second-step choices. Our data suggest that potential future outcomes are progressively unraveled during multistep decision making.

How Strong Is Your Coffee? The Influence of Visual Metaphors and Textual Claims on Consumers’ Flavor Perception and Product Evaluation

Science.gov (United States)

Fenko, Anna; de Vries, Roxan; van Rompay, Thomas

2018-01-01

This study investigates the relative impact of textual claims and visual metaphors displayed on the product’s package on consumers’ flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment (N = 123) compared the effects of visual metaphor of strength (an image of a lion located either on top or on the bottom of the package of coffee beans) and the direct textual claim (“extra strong”) on consumers’ responses to coffee, including product expectation, flavor evaluation, strength perception and purchase intention. The results demonstrate that both the textual claim and the visual metaphor can be efficient in communicating the product attribute of strength. The presence of the image positively influenced consumers’ product expectations before tasting. The textual claim increased the perception of strength of coffee and the purchase intention of the product. The location of the image also played an important role in flavor perception and purchase intention. The image located on the bottom of the package increased the perceived strength of coffee and purchase intention of the product compared to the image on top of the package. This result could be interpreted from the perspective of the grounded cognition theory, which suggests that a picture in the lower part of the package would automatically activate the “strong is heavy” metaphor. As heavy objects are usually associated with a position on the ground, this would explain why perceiving a visually heavy package would lead to the experience of a strong coffee. Further research is needed to better understand the relationships between a metaphorical image and its spatial position in food packaging design. PMID:29459840

How Strong Is Your Coffee? The Influence of Visual Metaphors and Textual Claims on Consumers’ Flavor Perception and Product Evaluation

Directory of Open Access Journals (Sweden)

Anna Fenko

2018-02-01

Full Text Available This study investigates the relative impact of textual claims and visual metaphors displayed on the product’s package on consumers’ flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment (N = 123 compared the effects of visual metaphor of strength (an image of a lion located either on top or on the bottom of the package of coffee beans and the direct textual claim (“extra strong” on consumers’ responses to coffee, including product expectation, flavor evaluation, strength perception and purchase intention. The results demonstrate that both the textual claim and the visual metaphor can be efficient in communicating the product attribute of strength. The presence of the image positively influenced consumers’ product expectations before tasting. The textual claim increased the perception of strength of coffee and the purchase intention of the product. The location of the image also played an important role in flavor perception and purchase intention. The image located on the bottom of the package increased the perceived strength of coffee and purchase intention of the product compared to the image on top of the package. This result could be interpreted from the perspective of the grounded cognition theory, which suggests that a picture in the lower part of the package would automatically activate the “strong is heavy” metaphor. As heavy objects are usually associated with a position on the ground, this would explain why perceiving a visually heavy package would lead to the experience of a strong coffee. Further research is needed to better understand the relationships between a metaphorical image and its spatial position in food packaging design.

Using Integrative Medicine in Pain Management: An Evaluation of Current Evidence.

Science.gov (United States)

Lin, Yuan-Chi; Wan, Limeng; Jamison, Robert N

2017-12-01

Complementary medicine therapies are frequently used to treat pain conditions such as headaches and neck, back, and joint pain. Chronic pain, described as pain lasting longer than 3-6 months, can be a debilitating condition that has a significant socioeconomic impact. Pharmacologic approaches are often used for alleviating chronic pain, but recently there has been a reluctance to prescribe opioids for chronic noncancer pain because of concerns about tolerance, dependence, and addiction. As a result, there has been increased interest in integrative medicine strategies to help manage pain and to reduce reliance on prescription opioids to manage pain. This article offers a brief critical review of integrative medical therapies used to treat chronic pain, including nutritional supplements, yoga, relaxation, tai chi, massage, spinal manipulation, and acupuncture. The goal of this article is to identify those treatments that show evidence of efficacy and to identify gaps in the literature where additional studies and controlled trials are needed. An electronic search of the databases of PubMed, The Cochrane Library, EMBASE, PsycINFO, and Science Citation Index Expanded was conducted. Overall, weak positive evidence was found for yoga, relaxation, tai chi, massage, and manipulation. Strong evidence for acupuncture as a complementary treatment for chronic pain that has been shown to decrease the usage of opioids was found. Few studies were found in which integrative medicine approaches were used to address opioid misuse and abuse among chronic pain patients. Additional controlled trials to address the use of integrative medicine approaches in pain management are needed.

Barriers to integrative education from the perspective of pre-service Primary teachers of English

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García Mata, Jorge

2009-03-01

Full Text Available This article presents and analyses the findings of a qualitative study about the perceptions expressed by prospective primary teachers of English about integration and response to special educational needs in the mainstream. The analysis of the data, obtained in the course of the practice teaching period of their course, evidences their ideas on integrative education; besides, a frequent lack of experiences of genuine integrative practices in such a critical period of professional preparation is identified. El presente artículo presenta y analiza los hallazgos de un estudio de naturaleza cualitativa sobre las percepciones que expresan futuros maestros especialistas de inglés en el transcurso de las Prácticas de Enseñanza sobre la integración y la atención a las necesidades educativas especiales en el aula ordinaria. El análisis de los datos textuales aportados por los informantes, además de revelar las ideas que éstos sostienen en torno a la integración, evidencia una frecuente ausencia de experiencias de enseñanza auténticamente integradoras durante ese período crítico de formación profesional

The Textualization of Problem Handling: Lean Discourses Meet Professional Competence in Eldercare and the Manufacturing Industry

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Karlsson, Anna-Malin; Nikolaidou, Zoe

2016-01-01

This article reports on research addressing the role of incident reporting at the workplace as a textual representation of lean management techniques. It draws on text and discourse analysis as well as on ethnographic data, including interviews, recorded interaction, and observations, from two projects on workplace literacy in Sweden: a study in…

The Effects of Visual and Textual Annotations on Spanish Listening Comprehension, Vocabulary Acquisition and Cognitive Load

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Cottam, Michael Evan

2010-01-01

The purpose of this experimental study was to investigate the effects of textual and visual annotations on Spanish listening comprehension and vocabulary acquisition in the context of an online multimedia listening activity. 95 students who were enrolled in different sections of first year Spanish classes at a community college and a large…

Mess management in microbial ecology: Rhetorical processes of disciplinary integration

Science.gov (United States)

McCracken, Christopher W.

As interdisciplinary work becomes more common in the sciences, research into the rhetorical processes mediating disciplinary integration becomes more vital. This dissertation, which takes as its subject the integration of microbiology and ecology, combines a postplural approach to rhetoric of science research with Victor Turner's "social drama" analysis and a third-generation activity theory methodological framework to identify conceptual and practical conflicts in interdisciplinary work and describe how, through visual and verbal communication, scientists negotiate these conflicts. First, to understand the conflicting disciplinary principles that might impede integration, the author conducts a Turnerian analysis of a disciplinary conflict that took place in the 1960s and 70s, during which American ecologists and biologists debated whether they should participate in the International Biological Program (IBP). Participation in the IBP ultimately contributed to the emergence of ecology as a discipline distinct from biology, and Turnerian social drama analysis of the debate surrounding participation lays bare the conflicting principles separating biology and ecology. Second, to answer the question of how these conflicting principles are negotiated in practice, the author reports on a yearlong qualitative study of scientists working in a microbial ecology laboratory. Focusing specifically on two case studies from this fieldwork that illustrate the key concept of textually mediated disciplinary integration, the author's analysis demonstrates how scientific objects emerge in differently situated practices, and how these objects manage to cohere despite their multiplicity through textually mediated rhetorical processes of calibration and alignment.

Engaging Nursing Students: Integrating Evidence-Based Inquiry, Informatics, and Clinical Practice.

Science.gov (United States)

Keiffer, Melanie R

2017-12-05

The nursing research class requires faculty to create a spirit of inquiry while integrating technology, flexibility, and responsiveness to student needs. This article discusses new pedagogies to actively engage students in the evidence-based nursing process and the achievement of course learning outcomes. Through course exemplar, the author demonstrates a creative method to engage traditional baccalaureate nursing students in a nursing project that links evidence to improved patient outcomes.

Integration of an Evidence Base into a Probabilistic Risk Assessment Model. The Integrated Medical Model Database: An Organized Evidence Base for Assessing In-Flight Crew Health Risk and System Design

Science.gov (United States)

Saile, Lynn; Lopez, Vilma; Bickham, Grandin; FreiredeCarvalho, Mary; Kerstman, Eric; Byrne, Vicky; Butler, Douglas; Myers, Jerry; Walton, Marlei

2011-01-01

This slide presentation reviews the Integrated Medical Model (IMM) database, which is an organized evidence base for assessing in-flight crew health risk. The database is a relational database accessible to many people. The database quantifies the model inputs by a ranking based on the highest value of the data as Level of Evidence (LOE) and the quality of evidence (QOE) score that provides an assessment of the evidence base for each medical condition. The IMM evidence base has already been able to provide invaluable information for designers, and for other uses.

Textual analysis of sugar industry influence on the World Health Organization’s 2015 sugars intake guideline

Science.gov (United States)

Reeves, Aaron; Loopstra, Rachel; McKee, Martin

2016-01-01

Abstract Objective To determine whether sugar industry-related organizations influenced textual changes between the draft and final versions of the World Health Organization’s (WHO’s) 2015 guideline Sugars intake for adults and children. Methods Stakeholder consultation submissions on the draft guideline from seven sugar industry-related and 10 public health organizations were assessed using the Wordscores program. Document scores were rescaled using the Martin–Vanberg transformation to improve comparability. Draft and final guidelines were compared to identify changes influenced by the sugar industry and public health organizations. Findings There was a small shift in transformed Wordscores score between the draft and final guidelines, from 0.25 to 0.24, towards the industry position. The change was linked to increased use of the word “low” to describe the quality of the evidence, consistent with industry arguments. There was also a shift from use of the word “consumption” to “intake”, irrespective of policy position. Scores for World Sugar Research Organisation and Sugar Nutrition UK submissions ( 0.11 and 0.18, respectively) represented strong pro-industry positions and scores for European Public Health Alliance and Wemos submissions (1.00 and 0.88, respectively) represented the strongest public health positions. Industry tactics included challenging the quality of the evidence, distinguishing between different types of sugar and advocating harm reduction. Conclusion There was little change between draft and final versions of the WHO sugars intake guideline 2015, following industry consultation. The main change was linked to emphasizing the low quality of the evidence on sugar’s adverse effects. Guideline development appeared relatively resistant to industry influence at the stakeholder consultation stage. PMID:27516634

Attitudes and emotions through written text: the case of textual deformation in internet chat rooms.

Directory of Open Access Journals (Sweden)

Francisco Yus Ramos

2010-11-01

Full Text Available Normal 0 21 false false false ES X-NONE X-NONE MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;} Los chats españoles de Internet son visitados por muchos jóvenes que usan el lenguaje de una forma muy creativa (ej. repetición de letras y signos de puntuación. En este artículo se evalúan varias hipótesis sobre el uso de la deformación textual respecto a su eficacia comunicativa. Se trata de comprobar si estas deformaciones favorecen una identificación y evaluación más adecuada de las actitudes (proposicionales o afectivas y emociones de sus autores. Las respuestas a un cuestionario revelan que a pesar de la información adicional que la deformación textual aporta, los lectores no suelen coincidir en la cualidad exacta de estas actitudes y emociones, ni establecen grados de intensidad relacionados con la cantidad de texto tecleada. Sin embargo, y a pesar de estos resultados, la deformación textual parece jugar un papel en la interpretación que finalmente se elige de estos mensajes enviados a los chats.

Interactive SIGHT: textual access to simple bar charts

Science.gov (United States)

Demir, Seniz; Oliver, David; Schwartz, Edward; Elzer, Stephanie; Carberry, Sandra; Mccoy, Kathleen F.; Chester, Daniel

2010-12-01

Information graphics, such as bar charts and line graphs, are an important component of many articles from popular media. The majority of such graphics have an intention (a high-level message) to communicate to the graph viewer. Since the intended message of a graphic is often not repeated in the accompanying text, graphics together with the textual segments contribute to the overall purpose of an article and cannot be ignored. Unfortunately, these visual displays are provided in a format which is not readily accessible to everyone. For example, individuals with sight impairments who use screen readers to listen to documents have limited access to the graphics. This article presents a new accessibility tool, the Interactive SIGHT (Summarizing Information GrapHics Textually) system, that is intended to enable visually impaired users to access the knowledge that one would gain from viewing information graphics found on the web. The current system, which is implemented as a browser extension that works on simple bar charts, can be invoked by a user via a keystroke combination while navigating the web. Once launched, Interactive SIGHT first provides a brief summary that conveys the underlying intention of a bar chart along with the chart's most significant and salient features, and then produces history-aware follow-up responses to provide further information about the chart upon request from the user. We present two user studies that were conducted with sighted and visually impaired users to determine how effective the initial summary and follow-up responses are in conveying the informational content of bar charts, and to evaluate how easy it is to use the system interface. The evaluation results are promising and indicate that the system responses are well-structured and enable visually impaired users to answer key questions about bar charts in an easy-to-use manner. Post-experimental interviews revealed that visually impaired participants were very satisfied with

Journeys toward Textual Relevance: Male Readers of Color and the Significance of Malcolm X and Harry Potter

Science.gov (United States)

Sciurba, Katie

2017-01-01

This article combines interview data from a group of boys of color at an urban single-sex school and content analysis of "The Autobiography of Malcolm X" and "Harry Potter and the Sorcerer's Stone" to demonstrate the complexities of readers' responses to literature. Textual relevance, or the ability to construct personal…

The challenge of integrating evidence-based design.

Science.gov (United States)

Martin, Caren S

2009-01-01

This paper discusses the integration of evidence-based design (EBD) into the design process as an innovation, illuminates the significance and progress of the diffusion of this innovation, and identifies EBD advocates and the consequences of meeting the EBD challenge. A free tool for engaging in EBD is explored. Healthcare designers are leading the EBD charge, because their clients depend on it. But not all designers engage in EBD, because it may be beyond the resources of a firm or outside its culture. However, as with other meaningful design innovations, designers who do not practice EBD could fall by the wayside. EBD is a product of the diffusion of the innovation of evidence-based medicine. The academy (i.e., the collective of institutions of higher education), design organizations, design communities, and the media all contribute to the diffusion of EBD. However, the quantity, quality, and understandability of evidence continue to challenge its broad adoption. InformeDesign®, a free, Internet-based tool, presents information to designers in a concise, understandable way. Firms must invest in EBD incrementally as a value-added component of design to meet current and future challenges. It is important for designers to realize that engaging in EBD is not a rejection of creativity, but a means by which to elevate their design solutions. ©2009 VENDOME GROUP, LLC

COERÊNCIA IMAGÉTICO-TEXTUAL NO GÊNERO QUADRINHOS?

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Jack Brandão

2015-12-01

Full Text Available Este artigo objetiva o estudo analítico das linguagens verbal e não verbal presentes nas histórias em quadrinhos (tiras, com o intuito de verificar como a união das duas linguagens presentes no gênero é eficiente enquanto mecanismo auxiliador no processo de compreensão da mensagem transmitida. Enfatiza-se ainda a importância da parceria autor-leitor e de outros elementos como essenciais para que a leitura do (contexto aconteça, enfatizando-se a força do texto não verbal nesse processo. Esta investigação está alicerçada nos pressupostos teóricos da Linguística Textual e, em especial, do conceito de coerência, utilizando-se da leitura e análise de tiras elucidativas da personagem Mafalda, criação do cartunista argentino Quino, nos anos 60.

Circulation of Silver Before Coin: the Documentary Evidence of First Millennium B.C. Assyria

OpenAIRE

Gaspa Salvatore

2011-01-01

This contribution deals with the use of silver as currency in Assyria in the light of the Neo-Assyrian textual evidence. The article is divided into three main parts. After a reconsideration of a much-debated passage in Sennacherib's inscriptions which has been taken in the past as evidence for the existence of coinage in the Neo-Assyrian empire, the first part gives an introductory view on the use of metals as money in Assyria, the progressive adoption of silver as currency during the 8th an...

An integrated system for physical protection

International Nuclear Information System (INIS)

Kumar, Ranajit

2001-01-01

An Integrated Physical Protection System (IPPS) was developed for the consolidation of all sub systems, sensors and elements related to physical protection for an efficient and effective security environment of a facility. An effective physical protection system discharges the functions of detection, delay, communication, response, access control etc. IPPS performs, controls and monitors all the above functionality and helps in taking quick action on occurrence of unusual incidents by instantly reporting the incident in easily understandable audio, video, graphical and textual format and also by initiating automatic interactions among sub-systems

Hacia una biblioteca electrónica textual del teatro en español de 1868-1936 (BETTE

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José Calvo Tello

2015-12-01

Full Text Available http://dx.doi.org/10.5007/1807-9288.2015v11n2p171 En este artículo se presenta el proyecto BETTE que consiste en la creación de una biblioteca electrónica textual del teatro en español de 1868-1936. Este proyecto lo lleva a cabo el grupo GHEDI (Grupo de Humanidades y edición digital de la Universidad Internacional de la Rioja (UNIR. El texto presenta un breve panorama de los cambios introducidos por el impacto de lo digital en el ámbito de la edición textual y  ofrece un estado de la cuestión de los proyectos que actualmente desarrollan las bibliotecas electrónicas que utilizan XML-TEI para codificar textos electrónicos. Asimismo, en él se presta atención  a los llamados lenguajes de marcado y se presentan algunas características de TEI (Text Encoding Initiative. Finalmente, se describen las particularidades de nuestro proyecto, objetivos y primeros avances.

Qur’an-related Intertextuality: Textual Potentiation in Translation

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Aladdin Al-Kharabsheh

2017-09-01

Full Text Available Qur’an-related intertextuality, envisaged as an enriching communicative act both monolingually and interlingually, represents a case of semantic complexity that is wired to present inconceivable translation challenges. Drawing on Derrida’s (1977 dichotomy iterability/citationality, Kristeva’s (1980 vertical intertextuality, Fairclough’s (1992a; 1992b; 1995 & 2011 manifest intertextuality, and Bakhtin’s (1986 double voicing or re-accentuation, the study argues that Qur’an-related intertextuality is conducive of conceptual densities, the ‘harnessing’ of which requires ‘mobilizing’ those translation strategies that should exceed the lexicographical equivalence (Venuti 2009 to establish intertextual relations relevant to the form and theme of the foreign text. To resolve the arising translation problems, the study basically proposes two synthetic approaches: the gist-paratextual and the gist-exegetical. Translation skopos has been found to be central to the production and reception of intertextuality and to determining which of the two proposed synthetic approaches to operationalize. Finally, analysis shows that Qur’an proved to be a virtual breeding ground for textual dynamism and potentiation.

What Good’s a Text? Textuality, Orality, and Mathematical Astronomy in Early Imperial China

OpenAIRE

Morgan, Daniel Patrick

2014-01-01

Article submitted to Archives internationales d'histoire des sciences; International audience; This paper examines a 226 ce debate on li 曆 mathematical astronomy at the Cao-Wei (226–265) court as a case study in the role of orality and person-to-person exchange in the transmission of astronomical knowledge in early imperial China. The li- and mathematics-related manuscripts to have come down to us from the early imperial period often suffer from textual corruption, the form that this corrupti...

The Generator of the Event Structure Lexicon (GESL): Automatic Annotation of Event Structure for Textual Inference Tasks

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Im, Seohyun

2013-01-01

This dissertation aims to develop the Generator of the Event Structure Lexicon (GESL) which is a tool to automate annotating the event structure of verbs in text to support textual inference tasks related to lexically entailed subevents. The output of the GESL is the Event Structure Lexicon (ESL), which is a lexicon of verbs in text which includes…

Textual Enhancement and Simplified Input: Effects on L2 Comprehension and Acquisition of Non-Meaningful Grammatical Form

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Wong, Wynne

2003-01-01

The study set out to investigate how textual enhancement (TE) as a form of input enhancement and increasing the comprehensibility of input via simplified input (SI) might impact adult L2 French learners' acquisition of the past participle agreement in relative clauses and their comprehension of three texts in which the target forms were embedded.…

MAS Integration and Controllership Effectiveness: Evidence of a Preparer-User Perception Gap

OpenAIRE

Weißenberger, Barbara E.; Angelkort, Hendrik; Holthoff, Gero

2012-01-01

Recent evidence suggests that managers establish a positive link between management accounting system (MAS) integration and controllership effectiveness, which is fully mediated by the perceived consistency of financial language. Our paper extends this research by analyzing whether controllers have similar perceptions on MAS design. Testing a series of multi-group structural equation models, we find evidence for a preparer-user perception gap with respect to the mediating impact of a consiste...

Effects of Lexical Features, Textual Properties, and Individual Differences on Word Processing Times during Second Language Reading Comprehension

Science.gov (United States)

Kim, Minkyung; Crossley, Scott A.; Skalicky, Stephen

2018-01-01

This study examines whether lexical features and textual properties along with individual differences on the part of readers influence word processing times during second language (L2) reading comprehension. Forty-eight Spanish-speaking adolescent and adult learners of English read nine English passages in a self-paced word-by-word reading…

Intervenção fonoaudiológica com gêneros textuais em um grupo de escolares Speech Therapy intervention with textual genders in a group of school age children

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Ane Caroline Brisch Schneider

2010-04-01

Full Text Available TEMA: terapia com gêneros textuais em um grupo de escolares. OBJETIVOS: analisar os resultados terapêuticos a partir da introdução de gêneros textuais como funcionamento terapêutico em um grupo de escolares com queixa de distúrbios de aquisição da linguagem escrita. PROCEDIMENTOS: participaram deste estudo cinco sujeitos, matriculados na 5ª ou 6ª série do ensino fundamental, em escolas distintas da rede pública de ensino da cidade de Santa Maria/RS, com idade entre 10 e 13 anos e histórico de fracasso escolar e repetência. A análise da produção textual com temática livre foi realizada por meio do protocolo de Lubian (2007. A intervenção terapêutica se deu entre setembro de 2007 e junho de 2008. Ao término do trabalho terapêutico a produção textual foi novamente analisada segundo o mesmo protocolo. RESULTADOS: o trabalho com gêneros textuais facilitou a motivação para ler e escrever e teve, como consequência, a melhoria da progressão e coesão textuais, além da adequação dos aspectos formais da escrita como ortografia e pontuação. O trabalho em grupo foi essencial para que os integrantes pudessem ressignificar os sentidos atribuídos à queixa a partir de constante diálogo com troca de experiências de situações escolares e familiares. CONCLUSÃO: a terapia com gêneros textuais foi motivador para outras práticas de leitura e escrita no grupo estudado. Além disso, o estudo de casos demonstra que não se tratam de distúrbios, mas práticas de letramento insuficientes.BACKGROUND: therapy with textual genders in a group of school children. PURPOSE: to analyze the therapeutic results from the introduction of textual genders as a therapeutical tool in a group of children with difficulties in the acquisition of written language. PROCEDURES: five children enrolled in 5th and 6th grades in distinct schools of public education in the city of Santa Maria/RS, age group ranging between 10 and 13 years and a school

Frequency shifting approach towards textual transcription of heartbeat sounds.

Science.gov (United States)

Arvin, Farshad; Doraisamy, Shyamala; Safar Khorasani, Ehsan

2011-10-04

Auscultation is an approach for diagnosing many cardiovascular problems. Automatic analysis of heartbeat sounds and extraction of its audio features can assist physicians towards diagnosing diseases. Textual transcription allows recording a continuous heart sound stream using a text format which can be stored in very small memory in comparison with other audio formats. In addition, a text-based data allows applying indexing and searching techniques to access to the critical events. Hence, the transcribed heartbeat sounds provides useful information to monitor the behavior of a patient for the long duration of time. This paper proposes a frequency shifting method in order to improve the performance of the transcription. The main objective of this study is to transfer the heartbeat sounds to the music domain. The proposed technique is tested with 100 samples which were recorded from different heart diseases categories. The observed results show that, the proposed shifting method significantly improves the performance of the transcription.

Frequency shifting approach towards textual transcription of heartbeat sounds

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Safar Khorasani Ehsan

2011-10-01

Full Text Available Abstract Auscultation is an approach for diagnosing many cardiovascular problems. Automatic analysis of heartbeat sounds and extraction of its audio features can assist physicians towards diagnosing diseases. Textual transcription allows recording a continuous heart sound stream using a text format which can be stored in very small memory in comparison with other audio formats. In addition, a text-based data allows applying indexing and searching techniques to access to the critical events. Hence, the transcribed heartbeat sounds provides useful information to monitor the behavior of a patient for the long duration of time. This paper proposes a frequency shifting method in order to improve the performance of the transcription. The main objective of this study is to transfer the heartbeat sounds to the music domain. The proposed technique is tested with 100 samples which were recorded from different heart diseases categories. The observed results show that, the proposed shifting method significantly improves the performance of the transcription.

Textual emotion recognition for enhancing enterprise computing

Science.gov (United States)

Quan, Changqin; Ren, Fuji

2016-05-01

The growing interest in affective computing (AC) brings a lot of valuable research topics that can meet different application demands in enterprise systems. The present study explores a sub area of AC techniques - textual emotion recognition for enhancing enterprise computing. Multi-label emotion recognition in text is able to provide a more comprehensive understanding of emotions than single label emotion recognition. A representation of 'emotion state in text' is proposed to encompass the multidimensional emotions in text. It ensures the description in a formal way of the configurations of basic emotions as well as of the relations between them. Our method allows recognition of the emotions for the words bear indirect emotions, emotion ambiguity and multiple emotions. We further investigate the effect of word order for emotional expression by comparing the performances of bag-of-words model and sequence model for multi-label sentence emotion recognition. The experiments show that the classification results under sequence model are better than under bag-of-words model. And homogeneous Markov model showed promising results of multi-label sentence emotion recognition. This emotion recognition system is able to provide a convenient way to acquire valuable emotion information and to improve enterprise competitive ability in many aspects.

Should different impact assessment instruments be integrated? Evidence from English spatial planning

International Nuclear Information System (INIS)

Tajima, Ryo; Fischer, Thomas B.

2013-01-01

This paper aims at providing empirical evidence to the question as to whether integration of different instruments is achieving its aim in supporting sustainable decision making, focusing on SEA inclusive sustainability appraisal (SA) and other impact assessments (IAs) currently used in English spatial planning. Usage of IAs in addition to SA is established and an analysis of the integration approach (in terms of process, output, and assessor) as well as its effectiveness is conducted. It is found that while integration enhances effectiveness to some extent, too much integration, especially in terms of the procedural element, appears to diminish the overall effectiveness of each IA in influencing decisions as they become captured by the balancing function of SA. -- Highlights: ► The usage of different impact assessments in English spatial planning is clarified. ► The relationship between integration approach and effectiveness is analyzed. ► Results suggest that integration does not necessarily lead to more sustainable decisions. ► Careful consideration is recommended upon process integration

Should different impact assessment instruments be integrated? Evidence from English spatial planning

Energy Technology Data Exchange (ETDEWEB)

Tajima, Ryo, E-mail: tajima.ryo@nies.go.jp [Interdisciplinary Graduate School of Science and Engineering, Tokyo Institute of Technology, 4259-G5-9 Nagatsuta-cho, Midori-ku, Yokoyama City, Kanagawa, 226-8502 (Japan); Fischer, Thomas B., E-mail: fischer@liverpool.ac.uk [Department of Geography and Planning, School of Environmental Sciences, University of Liverpool, 74 Bedford Street South, Liverpool L69 7ZQ (United Kingdom)

2013-07-15

This paper aims at providing empirical evidence to the question as to whether integration of different instruments is achieving its aim in supporting sustainable decision making, focusing on SEA inclusive sustainability appraisal (SA) and other impact assessments (IAs) currently used in English spatial planning. Usage of IAs in addition to SA is established and an analysis of the integration approach (in terms of process, output, and assessor) as well as its effectiveness is conducted. It is found that while integration enhances effectiveness to some extent, too much integration, especially in terms of the procedural element, appears to diminish the overall effectiveness of each IA in influencing decisions as they become captured by the balancing function of SA. -- Highlights: ► The usage of different impact assessments in English spatial planning is clarified. ► The relationship between integration approach and effectiveness is analyzed. ► Results suggest that integration does not necessarily lead to more sustainable decisions. ► Careful consideration is recommended upon process integration.

Electrophysiological evidence for a self-processing advantage during audiovisual speech integration.

Science.gov (United States)

Treille, Avril; Vilain, Coriandre; Kandel, Sonia; Sato, Marc

2017-09-01

Previous electrophysiological studies have provided strong evidence for early multisensory integrative mechanisms during audiovisual speech perception. From these studies, one unanswered issue is whether hearing our own voice and seeing our own articulatory gestures facilitate speech perception, possibly through a better processing and integration of sensory inputs with our own sensory-motor knowledge. The present EEG study examined the impact of self-knowledge during the perception of auditory (A), visual (V) and audiovisual (AV) speech stimuli that were previously recorded from the participant or from a speaker he/she had never met. Audiovisual interactions were estimated by comparing N1 and P2 auditory evoked potentials during the bimodal condition (AV) with the sum of those observed in the unimodal conditions (A + V). In line with previous EEG studies, our results revealed an amplitude decrease of P2 auditory evoked potentials in AV compared to A + V conditions. Crucially, a temporal facilitation of N1 responses was observed during the visual perception of self speech movements compared to those of another speaker. This facilitation was negatively correlated with the saliency of visual stimuli. These results provide evidence for a temporal facilitation of the integration of auditory and visual speech signals when the visual situation involves our own speech gestures.

Information Literacy on the Web: How College Students Use Visual and Textual Cues to Assess Credibility on Health Websites

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Katrina L. Pariera

2012-12-01

Full Text Available One of the most important literacy skills in today’s information society is the ability to determine the credibility of online information. Users sort through a staggering number of websites while discerning which will provide satisfactory information. In this study, 70 college students assessed the credibility of health websites with a low and high design quality, in either low or high credibility groups. The study’s purpose was to understand if students relied more on textual or visual cues in determining credibility, and to understand if this affected their recall of those cues later. The results indicate that when viewing a high credibility website, high design quality will bolster the credibility perception, but design quality will not compensate for a low credibility website. The recall test also indicated that credibility does impact the participants’ recall of visual and textual cues. Implications are discussed in light of the Elaboration Likelihood Model.

Integrating best evidence into patient care: a process facilitated by a seamless integration with informatics tools.

Science.gov (United States)

Giuse, Nunzia B; Williams, Annette M; Giuse, Dario A

2010-07-01

The Vanderbilt University paper discusses how the Eskind Biomedical Library at Vanderbilt University Medical Center transitioned from a simplistic approach that linked resources to the institutional electronic medical record system, StarPanel, to a value-added service that is designed to deliver highly relevant information. Clinical teams formulate complex patient-specific questions via an evidence-based medicine literature request basket linked to individual patient records. The paper transitions into discussing how the StarPanel approach acted as a springboard for two additional projects that use highly trained knowledge management librarians with informatics expertise to integrate evidence into both order sets and a patient portal, MyHealth@Vanderbilt.

Translation Competence and Translation Performance: Lexical, Syntactic and Textual Patterns in Student Translations of a Specialized EU Genre

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Karoly, Adrienn

2012-01-01

This paper reports the findings of a study aiming to reveal the recurring patterns of lexical, syntactic and textual errors in student translations of a specialized EU genre from English into Hungarian. By comparing the student translations to the official translation of the text, this article uncovers the most frequent errors that students made…

Texture, Textuality and Political Discourse: A Study of Lexical Cohesion in Nigeria's President Goodluck Jonathan's Inaugural Address, May, 2011

Science.gov (United States)

Enyi, Amaechi Uneke; Chitulu, Mark Ononiwu

2015-01-01

This study, entitled, "Texture and textuality in Political Discourse: A Study of Cohesive Devices in President Goodluck Jonathan's Inaugural Address-May, 2011" was an analysis of the lexical cohesive devices employed by Nigeria's President Goodluck Jonathan in crafting his May, 2011's Presidential Inaugural Address (PIA). Guided by the…

Integrating query of relational and textual data in clinical databases: a case study.

Science.gov (United States)

Fisk, John M; Mutalik, Pradeep; Levin, Forrest W; Erdos, Joseph; Taylor, Caroline; Nadkarni, Prakash

2003-01-01

The authors designed and implemented a clinical data mart composed of an integrated information retrieval (IR) and relational database management system (RDBMS). Using commodity software, which supports interactive, attribute-centric text and relational searches, the mart houses 2.8 million documents that span a five-year period and supports basic IR features such as Boolean searches, stemming, and proximity and fuzzy searching. Results are relevance-ranked using either "total documents per patient" or "report type weighting." Non-curated medical text has a significant degree of malformation with respect to spelling and punctuation, which creates difficulties for text indexing and searching. Presently, the IR facilities of RDBMS packages lack the features necessary to handle such malformed text adequately. A robust IR+RDBMS system can be developed, but it requires integrating RDBMSs with third-party IR software. RDBMS vendors need to make their IR offerings more accessible to non-programmers.

Harm reduction in U.S. tobacco control: Constructions in textual news media.

Science.gov (United States)

Eversman, Michael H

2015-06-01

U.S. tobacco control has long emphasized abstinence, yet quitting smoking is hard and cessation rates low. Tobacco harm reduction alternatives espouse substituting cigarettes with safer nicotine and tobacco products. Policy shifts embracing tobacco harm reduction have increased media attention, yet it remains controversial. Discourse theory posits language as fluid, and socially constructed meaning as neither absolute nor neutral, elevating certain views over others while depicting "discursive struggle" between them. While an abstinence-based framework dominates tobacco policy, discourse theory suggests constructions of nicotine and tobacco use can change, for example by positioning tobacco harm reduction more favorably. Textual discourse analysis was used to explore constructions of tobacco harm reduction in 478 (308 original) U.S. textual news media articles spanning 1996-2014. Using keyword database sampling, retrieved articles were analyzed first as discrete recording units and then to identify emergent thematic content. Constructions of tobacco harm reduction shifted over this time, revealing tension among industry and policy interests through competing definitions of tobacco harm reduction, depictions of its underlying science, and accounts of regulatory matters including tobacco industry support for harm reduction and desired marketing and taxation legislation. Heightened salience surrounding tobacco harm reduction and electronic cigarettes suggests their greater acceptance in U.S. tobacco control. Various media depictions construct harm reduction as a temporary means to cessation, and conflict with other constructions of it that place no subjective value on continued "safer" tobacco/nicotine use. Constructions of science largely obscure claims of the veracity of tobacco harm reduction, with conflict surrounding appropriate public health benchmarks for tobacco policy and health risks of nicotine use. Taxation policies and e-cigarette pricing relative to

Textual Self-branding: the Rhetorical Ethos in Mallarmé’s Divagations

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Arild Michel Bakken

2011-11-01

Full Text Available This article examines, from a rhetorical perspective, the textual presence of the auctorial figure in Mallarmé’s collection of prose writings, Divagations. It challenges the traditional and structuralist idea of Mallarmé as a poet eager to exclude his own persona from his work, and even as the initiator of the “death of the author.” Recent Mallarméan studies have been shifting the field’s attention away from the myth of the ivory tower to focus on the poet’s social project as it appears in the Divagations. Such a project presupposes a rhetorical commitment, and thus an auctorial presence in the text. The question that is raised here is then what role the figure of the poet plays in Mallarmé’s rhetorical strategy. A close rhetorical analysis of the Divagations reveals that the poet constantly, although discreetly, writes his own persona into the text. Throughout the Divagations, Mallarmé deploys much effort to give his persona qualities likely to win the support of his audience. It is argued that this manifest ethos preoccupation has a double function. The rhetorically efficient image of the poet is obviously intended to add authority to his social project. However, the poet’s constant cultivation of his textual figure shows that the ethos has gained a certain autonomy. An important preoccupation for the poet is in fact to brand himself as an author: contrary to the traditional idea of the absent poet, the auctorial figure seems to be one of the primary subjects of the Divagations. The argument thus invites us, in order to avoid overlooking this central aspect of Mallarmé’s project, to take the ethos perspective into account in any approach to Mallarmé’s prose work.

Caudal léxico en alumnos universitarios : Implicancias para la interacción textual

OpenAIRE

Piatti, Vanesa; Fernicola, Alfredo; Melillo, Oscar Roberto; Peralta, Diego

2011-01-01

En este trabajo se comunican los resultados preliminares de una investigación en curso. Específicamente se refiere a los resultados encontrados en pruebas de que examinan el caudal léxico, por el interés de sus relaciones con la interacción textual. En razón de ello en la elaboración de esta comunicación se ha tenido particularmente en cuenta el modelo de comprensión lectora proporcionado por Kintsch y Rawson (2005) sobre los diferentes niveles de procesamiento cuando se lee. Los autores d...

Hypertext in Secondary School in Chile: ¿It is pertinent apply traditional textual approaches?

OpenAIRE

Ayala Pérez, Teresa

2012-01-01

Los textos digitales constituyen parte importante de la comunicación en la sociedad de la información y recientemente han sido incluidos en los programas de Lenguaje y Comunicación de E.M. en Chile. Ante esta situación, cabe preguntarse si los tradicionales enfoques textuales, elaborados a partir del texto impreso en los años 70 y 80 y utilizados actualmente en Enseñanza Media, resultan aplicables al hipertexto. En este trabajo se describen algunos rasgos de este tipo de texto y se reflexiona...

Interpretive analysis of the textual codes in the Parrot and Merchant story

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Zohreh Najafi

2016-06-01

Full Text Available Abstract Narratology is a brunch of semiology which considers any kind of narrative, literary or non literary, verbal or visual, story or non story and after this specifies the plot. One of the most important subjects in narratology is the interpretation of textual cods which based on can be understood a lot of hidden meanings. Molavi expresses a lot of mystic points in Mathnavi in narrative form which some of his ideas can be realized in the first study but these ideas aren’t all of subjects which he wants to say and a complex of different meaning is hidden in any narrative which can be revealed by consideration of cods.     In terminology of semiology, code is a special situation in historical process of all of indexes and signs which specified for synchronized analyze. In review of literary texts textual cods are more important. Textual cods are the cods which their ambit is more extended than few special text and links these texts to each other in an interpretational form. Aesthetic cods are a group of textual cods which are used in different arts like: poem, painting, theater, music and so on.       The style of expression of aesthetic cods is the same style of art and literature. In the review of Mathnavi's narratives paying attention to narrative cods and using them can be considered as paralinguistic signs. Narrative cods contain interpretational form which used by authors and commentators of texts. In the story of parrot and merchant the textual cods are as follows:   - Parrot: in this story parrot is a symbolic code which shows all of human soul's features.   - Merchant: in this story merchant act as a cultural code which indicates rich who always are solicitous about their finance and are unaware of spiritual world.    - India: in this story India as a signifier code indicates spiritual world. Hermeneutic cods   Molana uses codes which act as turning point and addressed can understand hidden meanings which haven�

El método micro-textual como herramienta de análisis de foros en línea en contextos multiculturales

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Marcelo I. Dorfsman

2016-01-01

Full Text Available En este trabajo presentaremos el método micro-textual, como una herramienta eficiente de análisis en la investigación que se está desarrollando sobre enseñanza en línea y multiculturalidad en la Educación Superior, en el Centro Melton de Educación Judía de la Universidad Hebrea de Jerusalem. El propósito del trabajo es mostrar de qué manera el método posibilita identificar y caracterizar diferentes tipos de diálogo en los foros en línea, y asimismo examinar su evolución. El método está constituido por una batería conceptual desarrollada para el análisis de textos y su objetivo es contribuir a la comprensión del discurso textual e intertextual y su evolución en cursos virtuales, en particular en la enseñanza superior. El mismo utiliza componentes textuales y contextuales para la comprensión de textos, siendo un componente central el indicador etno-cultural, vinculado a la pertenencia del participante a un grupo religioso o cultural, y a problemáticas relacionadas con su identidad. En la ejemplificación elegida para este trabajo, propondremos analizar cuestiones vinculadas a la interrelación entre los indicadores personales, profesionales y los etno-culturales; así como también al rol del docente en la educación superior en línea.

Cochrane Qualitative and Implementation Methods Group guidance series-paper 5: methods for integrating qualitative and implementation evidence within intervention effectiveness reviews.

Science.gov (United States)

Harden, Angela; Thomas, James; Cargo, Margaret; Harris, Janet; Pantoja, Tomas; Flemming, Kate; Booth, Andrew; Garside, Ruth; Hannes, Karin; Noyes, Jane

2018-05-01

The Cochrane Qualitative and Implementation Methods Group develops and publishes guidance on the synthesis of qualitative and mixed-method evidence from process evaluations. Despite a proliferation of methods for the synthesis of qualitative research, less attention has focused on how to integrate these syntheses within intervention effectiveness reviews. In this article, we report updated guidance from the group on approaches, methods, and tools, which can be used to integrate the findings from quantitative studies evaluating intervention effectiveness with those from qualitative studies and process evaluations. We draw on conceptual analyses of mixed methods systematic review designs and the range of methods and tools that have been used in published reviews that have successfully integrated different types of evidence. We outline five key methods and tools as devices for integration which vary in terms of the levels at which integration takes place; the specialist skills and expertise required within the review team; and their appropriateness in the context of limited evidence. In situations where the requirement is the integration of qualitative and process evidence within intervention effectiveness reviews, we recommend the use of a sequential approach. Here, evidence from each tradition is synthesized separately using methods consistent with each tradition before integration takes place using a common framework. Reviews which integrate qualitative and process evaluation evidence alongside quantitative evidence on intervention effectiveness in a systematic way are rare. This guidance aims to support review teams to achieve integration and we encourage further development through reflection and formal testing. Copyright © 2017 Elsevier Inc. All rights reserved.

How strong is your coffee? : The influence of visual metaphors and textual claims on consumers' flavor perception and product evaluation

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Fenko, Anna; de Vries, Roxan; van Rompay, Thomas

2018-01-01

This study investigates the relative impact of textual claims and visual metaphors displayed on the product's package on consumers' flavor experience and product evaluation. For consumers, strength is one of the most important sensory attributes of coffee. The 2 × 3 between-subjects experiment (N =

de análisis textual cinematográfico

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Fernando Vizcarra

2011-01-01

Full Text Available Se presenta un análisis textual del filme futurista Blade Runner (1982, de Ridley Scott. Busca, sobre todo, indagar cómo se representan los efectos radicalizados de la modernidad en el discurso cinematográfico y, concretamente, en la construcción fílmica de las identidades. ¿Qué elementos de representación de lo social se movilizan en esta película para expresar, mediante la ficción futurista, las consecuencias críticas de la modernidad en las sociedades contemporáneas? Ciertos componentes de la modernidad y la posmodernidad (que aquí trato como modernidades múltiples, tales como la expansión de la racionalidad y la consecuente crisis de sentido, las rearticulaciones del tiempo y del espacio, la creación de entornos de fiabilidad y riesgo, y los procesos de hibridación, se exploran en este ejercicio a la luz de los siguientes códigos identitarios revelados en Blade Runner: 1 mortalidad, 2 memoria y poder, 3 anomia y sentido, 4 solidaridad y 5 ironía.

Assessing Online Textual Feedback to Support Student Intrinsic Motivation Using a Collaborative Text-Based Dialogue System: A Qualitative Study

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Shroff, Ronnie H.; Deneen, Christopher

2011-01-01

This paper assesses textual feedback to support student intrinsic motivation using a collaborative text-based dialogue system. A research model is presented based on research into intrinsic motivation, and the specific construct of feedback provides a framework for the model. A qualitative research methodology is used to validate the model.…

Integration of evidence-based practice in bedside teaching paediatrics supported by e-learning.

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Potomkova, Jarmila; Mihal, Vladimir; Zapletalova, Jirina; Subova, Dana

2010-03-01

Bedside teaching with evidence-based practice elements, supported by e-learning activities, can play an important role in modern medical education. Teachers have to incorporate evidence from the medical literature to increase student motivation and interactivity. An integral part of the medical curricula at Palacky University Olomouc (Czech Republic) are real paediatric scenarios supplemented with a review of current literature to enhance evidence-based bedside teaching & learning. Searching for evidence is taught through librarian-guided interactive hands-on sessions and/or web-based tutorials followed by clinical case presentations and feedback. Innovated EBM paediatric clerkship demonstrated students' preferences towards web-based interactive bedside teaching & learning. In two academic years (2007/2008, 2008/2009), learning-focused feedback from 106 and 131 students, resp. was obtained about their attitudes towards evidence-based bedside teaching. The assessment included among others the overall level of instruction, quality of practical evidence-based training, teacher willingness and impact of instruction on increased interest in the specialty. There was some criticism about excessive workload. A parallel survey was carried out on the perceived values of different forms of information skills training (i.e. demonstration, online tutorials, and librarian-guided interactive search sessions) and post-training self-reported level of search skills. The new teaching/learning paediatric portfolio is a challenge for further activities, including effective knowledge translation, continuing medical & professional development of teachers, and didactic, clinically integrated teaching approaches.

Estudio de las técnicas de detección de plagio textual y análisis de sinonimia en ensayos y desarrollo de un sistema prototipo

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Flores Vega, Andrea Elizabeth; León Ullauri, Benito Bernardo

2012-01-01

Entendemos como plagio la inserción de ideas que no nos pertenecen y darlas como nuestras al no reconocer mediante citas referenciales a los autores originales de un texto sobre el cual nos basamos para sustentar nuestros trabajos. Existen varias formas de plagio, sin embargo en nuestro trabajo nos hemos enfocado en analizar plagio textual y plagio por sinonimia. Se considera que el plagio textual es la forma más común y fácil de plagio. Consiste en copiar desde un documento ajeno ideas sin c...

Early Bronze Age Houses in Upper Mesopotamia: Evidence of Dwellings or Private Enterprises?

OpenAIRE

Mas, Juliette

2014-01-01

This paper deals with the research I carried out on domestic architecture and private economy during Early Bronze Age in Upper-Mesopotamia. Archaeological records, as well as textual evidence, has been used to try to define private households activities and their relationships with official institutions. Households were the main source of production, distribution and consumption during the Early Bronze Age. As it seems that these private economic entities produced goods and crafts in their ow...

Write like a visual artist: Tracing the textually mediated art world

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Janna Klostermann

2016-12-01

Full Text Available This study examines the social organisation of Canada’s art world from the standpoint of practising visual artists. Bringing together theories of literacy and institutional ethnography, the article investigates the literacy practices of visual artists, making visible how artists use written texts to participate in public galleries and in the social and institutional relations of the art world. Drawing on extended ethnographic research, including interviews, observational field notes and textual analyses, this study sheds light on the ways visual artists enact particular texts, enact organisational processes, and to enact the social and conceptual worlds they are a part of. Through the lens of visual artists, this study locates two particular texts – the artist statement and the bio statement – in the extended social and institutional relations of the art world.

Shifting Norms and Expectations for Medical School Leaders: A Textual Analysis of Career Advertisements 2000-2004 cf. 2010-2014

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Gorsky, Diane; MacLeod, Anna

2016-01-01

Leadership norms and expectations are continually evolving in higher education. Medical education is no exception to that trend, but shifts over time are intangible and difficult to measure. To explore emerging changes, the authors conducted a textual analysis of published career advertisements from 2000-2004 and 2010-2014. While a number of…

Integrating evidence-based interventions into client care plans.

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Doran, Diane; Carryer, Jennifer; Paterson, Jane; Goering, Paula; Nagle, Lynn; Kushniruk, Andre; Bajnok, Irmajean; Clark, Carrie; Srivastava, Rani

2009-01-01

Within the mental health care system, there is an opportunity to improve patient safety and the overall quality of care by integrating clinical practice guidelines with the care planning process through the use of information technology. Electronic assessment tools such as the Resident Assessment Inventory - Mental Health (RAI-MH) are widely used to identify the health care needs and outcomes of clients. In this knowledge translation initiative, an electronic care planning tool was enhanced to include evidence-based clinical interventions from schizophrenia guidelines. This paper describes the development of a mental health decision support prototype, a field test by clinicians, and user experiences with the application.

Extracting the Textual and Temporal Structure of Supercomputing Logs

Energy Technology Data Exchange (ETDEWEB)

Jain, S; Singh, I; Chandra, A; Zhang, Z; Bronevetsky, G

2009-05-26

Supercomputers are prone to frequent faults that adversely affect their performance, reliability and functionality. System logs collected on these systems are a valuable resource of information about their operational status and health. However, their massive size, complexity, and lack of standard format makes it difficult to automatically extract information that can be used to improve system management. In this work we propose a novel method to succinctly represent the contents of supercomputing logs, by using textual clustering to automatically find the syntactic structures of log messages. This information is used to automatically classify messages into semantic groups via an online clustering algorithm. Further, we describe a methodology for using the temporal proximity between groups of log messages to identify correlated events in the system. We apply our proposed methods to two large, publicly available supercomputing logs and show that our technique features nearly perfect accuracy for online log-classification and extracts meaningful structural and temporal message patterns that can be used to improve the accuracy of other log analysis techniques.

Consumer preferences and values as an integral key to evidence-based practice.

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Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen

2006-01-01

Although evidence-based practice (EBP) integrates the best evidence from well-designed studies with a clinician's expertise and patient preferences and values, most of what is emphasized in books and reports on EBP is the 5-step EBP process. However, the consideration of patient values and preferences in making clinical decisions is essential to deliver the highest quality of care. This article briefly reviews the status of EBP in the United States, described the ARCC mentorship model, and highlights how to engage consumers in the EBP process.

Does the Internet Accelerate the Integration of Domestic Markets? Evidence from China

Institute of Scientific and Technical Information of China (English)

Lijuan Xie; Wenwei Ai; Hao Zhang

2016-01-01

This paper employs a hybrid methodology that combines case study and econometric research to examine the impact of the Internet on domestic market integration.There is not much research on this issue in the literature.From the multi-case analysis,this paper firstly obtains two main indications which are clear yet contrary to each other about how the Internet influences the market integration process.To be specific,although the Internet has both the ability and the potential to promote market integration,it is not always effective and could even harm this process due to several constraints.Using a provincial-level panel dataset from 2007 to 2013 in China,this paper empirically investigates whether the Intemet plays a positive role in the market integration process.Contradictory to common expectations,we do not find any empirical evidence that the Internet accelerates the integration of domestic markets.Thus,when compared with taking advantage of Internet tools,manmade obstacles to market integration that exist in current trading systems and business models deserve more attention.

Relação entre leitura de palavras isoladas e compreensão de leitura textual em crianças

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Corso, Helena Vellinho

2009-01-01

Full Text Available Dentre os inúmeros processos que se inter-relacionam durante a atividade da leitura, o reconhecimento das palavras e a compreensão do que é reconhecido são identificados como fundamentais. Uma das perspectivas expostas na literatura é a de que a fluência na leitura de palavras é condição fundamental para a compreensão da leitura, embora não suficiente, posto que a leitura eficiente de palavras não garante a compreensão de leitura textual. O presente trabalho examinou também a possibilidade inversa, a saber: é possível haver uma boa compreensão textual apesar de fracas habilidades de leitura de palavras? A pesquisa comparou o desempenho de crianças de 2ª série do EF em leitura de palavras isoladas e em compreensão de leitura textual, investigando, assim, as correlações e a possibilidade de dissociações entre estes dois processos. A análise dos dados mostrou uma forte correlação entre as habilidades em questão. Enquanto foi possível verificar a presença de algumas crianças com competência no reconhecimento de palavras e com baixa capacidade de compreensão de texto, os dados não sugerem uma dissociação visível no sentido inverso, ou seja, categorias altas de compreensão de texto apesar de baixos escores em leitura de palavras isoladas. Implicações para intervenção clínica e educacional são discutidas

[Textual pragmatics in adolescents with attention deficit hyperactivity disorder: argument].

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Gallardo-Paúls, B; Gimeno-Martínez, M; Moreno-Campos, V

2010-03-03

Clinical linguistics involves a study of linguistic deficits which focuses on a series of aspects that range from strictly formal, grammatical points to the effective and contextualised use of language. Thus, it is also inevitably concerned with the cognitive, i.e. mental, correlate of such language use, whose basic textual dimensions are narration and argument. To describe the argumentative skills in adolescents with attention deficit hyperactivity disorder (ADHD) and to examine their relationship with academic achievement and sociability. We analysed 79 argumentative texts written by adolescents with ADHD, using a methodology from cognitive linguistics and from theories of argumentation with a dialogical foundation. Adolescents with ADHD provided a greater number of arguments than those in the control group, but with a higher predominance of emotional and negative sanction strategies compared with a greater use of fallacious or circular arguments in those in the control group; the difference between the use of rational arguments in the two groups is not significant.

Sammas ja labürint: Jüri Ehlvesti tekstuaalsest ruumist. Column and Labyrinth: On Jüri Ehlvest’s Textual Space

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Virve Sarapik

2012-04-01

Full Text Available The purpose of this article is to analyze the connections of spatial relations and settings with narrative, and the presentation of these relations in Jüri Ehlvest’s texts. Distinctions are made between textual space (as designation, description, or rhetorical presentation and fictional space (the space in which narrative action takes place and the site of the denouement of events. Fictional space can be expressed as textual space in one of the four following ways: (a perceived space (b experienced space (c logical space (d alogical space. The multilayeredness of Ehlvest’s texts, their fragmentariness and dislocated reality, entail a complicated reception. In contrast, however, the geographical space represented in the texts is generally quite clear and accessible, with the effect of seeming real and humanly possible. Indeed, specific spatial elements are one of the sources of the verisimilitude and plausibility of Ehlvest’s texts. For the most part, the place where ehlvestian narrative plays itself out is a clear topographical environment, usually an interior; the textual representation of spaces is minimalist, avoiding descriptions, and with practically no impression of movement. In addition to representation of places, rooms, houses, and open space using ordinary, direct, (yet very minimalist means, several more indirect strategies of creating space can be found in Ehlvest’s texts. This article calls attention to some characteristic devices from this indirect repertoire, grouping them as follows: things; window and picture; repetition, fragment, and mirror; body and emptiness. Of the four types of textual space mentioned above, the one most characteristic of Ehlvest’s stories is experienced space, which could also be described as haptic space of experience. However, due to the fragmentariness and bricolage typical of Ehlvest, there are certainly also plenty of examples of the other types, particularly perceived and alogical space

A coesão textual como ferramenta para compreensão de textos em língua inglesa

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Fábio Henrique Rosa Senefonte

2013-12-01

Full Text Available A presente pesquisa ancora-se nos pressupostos de que o sentido do texto é construído pelo leitor e para que isso ocorra, é necessária a ativação de vários conhecimentos, dentre eles o domínio de mecanismos coesivos (KOCH, 2000, 2003, 2004, 2005, 2008; MARCUSCHI, 2008. Dessa forma, o artigo objetiva ilustrar de forma prática como os conhecimentos de coesão textual auxiliam na compreensão de textos em língua inglesa como língua estrangeira. Para isso, foi demonstrado um procedimento metodológico, ancorado na literatura supracitada, para uma possível compreensão de uma notícia extraída do jornal “The New York Times”. Por meio de uma abordagem de leitura instrumental (TODA, 2010, tal procedimento comprovou que a construção de sentido (compreensão do texto foi possível graças à ativação de vários conhecimentos a respeito estratégias de leitura, incluindo o conhecimento acerca de coesão textual.

Evidence and Feasibility of Implementing an Integrated Wellness Program in Northeast Georgia.

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Flanigan, Amber; Salm Ward, Trina

2017-08-01

Evidence for the connection between physical and mental health is growing, as is interest in providing a holistic, mind-body approach to improving mental health and wellness. A needs assessment in northeast Georgia identified several regional health priorities, including mental health and substance abuse, access to care, and cardiovascular health. The study's purpose is threefold: to (1) review evidence for integrated mind-body wellness services, (2) explore the feasibility of implementing wellness services in a small mental health agency serving northeast Georgia, and (3) conduct a brief survey assessing interest in a wellness program. The literature search identified articles within the past 10 years with these key words: "yoga," "mental health," "wellness program," "complementary alternative medicine," "tai chi," "mindfulness," "meditation," and "nutrition." The survey was distributed to the agency's affiliates. The literature review identified strong evidence for an integrated mind-body wellness program that includes yoga, tai chi, mindfulness meditation, and nutrition education. Among 73 survey respondents, 86 percent indicated interest in wellness services, and 85 percent agreed that wellness services are important to mental health and well-being. Authors suggest a model to incorporate a holistic wellness program to complement mental health services and help facilitate physical and mental health. © 2017 National Association of Social Workers.

Reconsidering the Rhizome: A Textual Analysis of Web Search Engines as Gatekeepers of the Internet

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Hess, A.

Critical theorists have often drawn from Deleuze and Guattari's notion of the rhizome when discussing the potential of the Internet. While the Internet may structurally appear as a rhizome, its day-to-day usage by millions via search engines precludes experiencing the random interconnectedness and potential democratizing function. Through a textual analysis of four search engines, I argue that Web searching has grown hierarchies, or "trees," that organize data in tracts of knowledge and place users in marketing niches rather than assist in the development of new knowledge.

Clinical practice guidelines on the evidence-based use of integrative therapies during and following breast cancer treatment

Science.gov (United States)

Greenlee, Heather; DuPont-Reyes, Melissa J.; Balneaves, Lynda G.; Carlson, Linda E.; Cohen, Misha R.; Deng, Gary; Johnson, Jillian A.; Mumber, Matthew; Seely, Dugald; Zick, Suzanna; Boyce, Lindsay; Tripathy, Debu

2018-01-01

Patients with breast cancer commonly use complementary and integrative therapies as supportive care during cancer treatment and to manage treatment-related side effects. However, evidence supporting the use of such therapies in the oncology setting is limited. This report provides updated clinical practice guidelines from the Society for Integrative Oncology on the use of integrative therapies for specific clinical indications during and after breast cancer treatment, including anxiety/stress, depression/mood disorders, fatigue, quality of life/physical functioning, chemotherapy-induced nausea and vomiting, lymphedema, chemotherapy-induced peripheral neuropathy, pain, and sleep disturbance. Clinical practice guidelines are based on a systematic literature review from 1990 through 2015. Music therapy, meditation, stress management, and yoga are recommended for anxiety/stress reduction. Meditation, relaxation, yoga, massage, and music therapy are recommended for depression/mood disorders. Meditation and yoga are recommended to improve quality of life. Acupressure and acupuncture are recommended for reducing chemotherapy-induced nausea and vomiting. Acetyl-L-carnitine is not recommended to prevent chemotherapy-induced peripheral neuropathy due to a possibility of harm. No strong evidence supports the use of ingested dietary supplements to manage breast cancer treatment-related side effects. In summary, there is a growing body of evidence supporting the use of integrative therapies, especially mind-body therapies, as effective supportive care strategies during breast cancer treatment. Many integrative practices, however, remain understudied, with insufficient evidence to be definitively recommended or avoided. PMID:28436999

Exploratory analysis of textual data from the Mother and Child Handbook using the text-mining method: Relationships with maternal traits and post-partum depression.

Science.gov (United States)

Matsuda, Yoshio; Manaka, Tomoko; Kobayashi, Makiko; Sato, Shuhei; Ohwada, Michitaka

2016-06-01

The aim of the present study was to examine the possibility of screening apprehensive pregnant women and mothers at risk for post-partum depression from an analysis of the textual data in the Mother and Child Handbook by using the text-mining method. Uncomplicated pregnant women (n = 58) were divided into two groups according to State-Trait Anxiety Inventory grade (high trait [group I, n = 21] and low trait [group II, n = 37]) or Edinburgh Postnatal Depression Scale score (high score [group III, n = 15] and low score [group IV, n = 43]). An exploratory analysis of the textual data from the Maternal and Child Handbook was conducted using the text-mining method with the Word Miner software program. A comparison of the 'structure elements' was made between the two groups. The number of structure elements extracted by separated words from text data was 20 004 and the number of structure elements with a threshold of 2 or more as an initial value was 1168. Fifteen key words related to maternal anxiety, and six key words related to post-partum depression were extracted. The text-mining method is useful for the exploratory analysis of textual data obtained from pregnant woman, and this screening method has been suggested to be useful for apprehensive pregnant women and mothers at risk for post-partum depression. © 2016 Japan Society of Obstetrics and Gynecology.

Text in context: a textual-linguistic approach to Amos 4: 7-8

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del Barco del Barco, Francisco Javier

2002-12-01

Full Text Available This article will study Amos 4:7-8 from a textlinguistic approach: the form of this section will be analyzed within the structure of the chapter in which it is inserted. Such an analysis is needed because the set of verb forms used seems to be different from the rest of verb forms used in the chapter. While the whole chapter tends to be structured as a brief chain of narrative passages with wayyiqtol, the structure of Amos 4:7-8 seems to be a predictive section -developed through weqatal- inserted or pasted in the middle of the chapter. Translations usually do not note the difference between the set of verb forms used. A textlinguistic analysis of Amos 4:7-8 will show that the kind of discourse used here is different from the one used in the rest of the chapter, and, therefore, this difference should be reflected in the translation. The specific function of some discourse types is also discussed.

En este artículo se presenta un análisis de Amos 4:7-8 a partir de los presupuestos de la lingüística textual. La forma del texto se analizará tomando en cuenta la estructura del capítulo en el que se halla inserto. Este análisis resulta necesario porque el grupo de formas verbales utilizado en la sección propuesta no parece ser el mismo que el del resto del capítulo. Mientras el capítulo en su conjunto es un discurso narrativo estructurado en torno a wayyiqtol, Amos 4:7-8 parece responder al esquema del discurso predictivo desarrollado a partir de weqatal. Un análisis textual se hace necesario porque las traducciones bíblicas no parecen hacerse eco del cambio en el uso de las formas verbales. Además de este análisis, se trata también de la función específica de algunos tipos de discurso.

The Impact of Textual Input Enhancement and Explicit Rule Presentation on Iranian Elementary EFL Learners' Intake of Simple Past Tense

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Nahavandi, Naemeh; Mukundan, Jayakaran

2013-01-01

The present study investigated the impact of textual input enhancement and explicit rule presentation on 93 Iranian EFL learners' intake of simple past tense. Three intact general English classes in Tabriz Azad University were randomly assigned to: 1) a control group; 2) a TIE group; and 3) a TIE plus explicit rule presentation group. All…

Contexts of textual production and the construction of coherence in stories written by children / Contexto de produção e o estabelecimento da coerência na escrita de histórias por crianças

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Ana Paula Perdigão Pessoa

2010-01-01

Full Text Available This study examines the influence of schooling and the context of textual production on stories written by 1st and 2nd graders. In the first condition, children were asked to write original stories. In the second condition, they were asked to reproduce in writing a classical tale for children. The stories were classified according to the complexity and coherence of the narrative. Results indicate that schooling and condition of text production influenced the establishment of textual coherence. However, the effect of the contexts of textual production on children's writing was not the same for all children. Sensitivity to the contexts of text production seemed to have been related to children's awareness of narrative schema.

The Evolution of Consciousness as a Planetary Imperative:An Integration of Integral Views

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Jennifer Gidley

2007-12-01

Full Text Available In this article I aim to broaden and deepen the evolution of consciousnessdiscourse by integrating the integral theoretic narratives of Rudolf Steiner, Jean Gebser,and Ken Wilber, who each point to the emergence of new ways of thinking that couldaddress the complex, critical challenges of our planetary moment. I undertake a widescan of the evolution discourse, noting it is dominantly limited to biology-based notionsof human origins that are grounded in scientific materialism. I then broaden the discourseby introducing integral evolutionary theories using a transdisciplinary epistemology towork between, across and beyond diverse disciplines. I note the conceptual breadth ofWilber's integral evolutionary narrative in transcending both scientism andepistemological isolationism. I also draw attention to some limitations of Wilber’sintegral project, notably his undervaluing of Gebser's actual text, and the substantialomission of the pioneering contribution of Steiner, who, as early as 1904 wroteextensively about the evolution of consciousness, including the imminent emergence of anew stage. I enact a deepening of integral evolutionary theory by honoring the significantyet undervalued theoretic components of participation/enactment and aesthetics/artistryvia Steiner and Gebser, as a complement to Wilber. To this end, I undertake an in-depthhermeneutic dialogue between their writings utilizing theoretic bricolage, a multi-modemethodology that weaves between and within diverse and overlapping perspectives. Thehermeneutic methodology emphasizes interpretive textual analysis with the aim ofdeepening understanding of the individual works and the relationships among them. Thisanalysis is embedded in an epic but pluralistic narrative that spans the entire human storythrough various previous movements of consciousness, arriving at a new emergence atthe present time. I also discuss the relationship between these narratives andcontemporary academic literature

Textual Demands of Passages in Three English/Language Arts Common Core Assessments and One Core Literacy Program for Intermediate Elementary Grades

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Morrison, Timothy G.; Wilcox, Brad; Murdoch, Erica; Bird, Lauren

2018-01-01

The Common Core has emphasized reading for comprehension, including making inferences. However, little is known about the textual demands found within assessment and instructional passages that are promoted as being in line with Common Core expectations. The purpose of this content analysis was to identify the readability levels, passage length,…

A Cross Cultural Analysis of Textual and Interpersonal Metadiscourse Markers: The Case of Economic Articles in English and Persian Newspapers

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Boshrabadi, Abbas Mehrabi; Biria, Reza; Zavari, Zahra

2014-01-01

This study was an attempt to investigate the functional role of textual and interpersonal metadiscourse markers in English and Persian Economic news reports. To this end, 10 news articles, 5 in each language, were randomly selected from the Economic sections of the leading newspapers published in 2013-2014 in Iran and the United States. Based on…

Achieving Adherence to Evidence-Based Practices: Are Health IT and Hospital-Physician Integration Complementary or Substitutive Strategies?

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Everson, Jordan; Lee, Shoou-Yih Daniel; Adler-Milstein, Julia

2016-12-01

In response to evolving policies and conditions, hospitals have increased health information technology (HIT) adoption and strived to improve hospital-physician integration. While evidence suggests that both HIT and integration confer independent benefits, when combined, they may provide complementary means to achieve high performance or overlap to offset each other's contribution. We explore this relationship in the context of hospital adherence to evidence-based practices (EBPs). Using the American Hospital Association's Annual and IT Supplement surveys, and Centers for Medicare and Medicaid Services's Hospital Compare, we estimate the independent relationships and interactions between HIT and hospital-physician integration with respect to EBP adherence. HIT adoption and tight (but not loose) integration are independently associated with greater adherence to EBPs. The interaction between HIT adoption and tight integration is negative, consistent with an offsetting association between HIT adoption and integration in their relationship to EBP adherence. This finding reveals the need to be aware of potential substitutive effects from simultaneous pursuit of multiple approaches to performance improvement. © The Author(s) 2016.

Hacia una didáctica de la composición textual en la escuela infantil y primaria

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Margarita CASANUEVA HERNÁNDEZ

2009-11-01

Full Text Available RESUMEN: Parece urgente la necesidad de una didáctica del texto para ser aplicada en la enseñanza de la lengua en la Escuela, que tenga en cuenta el actual enfoque comunicativo, en el que se concibe al discurso como el nivel de desarrollo real y no teórico del lenguaje, y en el que, en este sentido, coinciden tres tipos de relaciones: semánticas, gramaticales (incluyendo los niveles de morfema, sintagma y oración y pragmáticas. Es de esperar que el nuevo planteamiento palie, en gran medida, problemas relativos a la comprensión y expresión oral y escrita, tales como la coherencia en la composición textual y la ortografía, que afectan a todos los niveles de enseñanza.ABSTRACT: There is a need for text instructions that keep in mind the actual communicative focus to be applied in the teaching of language in Elementary Schools in which the discourse is conceived as a level of real development and not a theoretical one thereby linking three relationships: semantic, grammatical (including levels of morphemes, syntagm and sentence and pragmatic. It is hoped that this new suggestion will greatly mitigate, those problems related to oral and written comprehension and expression such as coherence in a textual context and spelling, which affect all levels of teaching.

Exploratory analysis of textual data from the Mother and Child Handbook using a text mining method (II): Monthly changes in the words recorded by mothers.

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Tagawa, Miki; Matsuda, Yoshio; Manaka, Tomoko; Kobayashi, Makiko; Ohwada, Michitaka; Matsubara, Shigeki

2017-01-01

The aim of the study was to examine the possibility of converting subjective textual data written in the free column space of the Mother and Child Handbook (MCH) into objective information using text mining and to compare any monthly changes in the words written by the mothers. Pregnant women without complications (n = 60) were divided into two groups according to State-Trait Anxiety Inventory grade: low trait anxiety (group I, n = 39) and high trait anxiety (group II, n = 21). Exploratory analysis of the textual data from the MCH was conducted by text mining using the Word Miner software program. Using 1203 structural elements extracted after processing, a comparison of monthly changes in the words used in the mothers' comments was made between the two groups. The data was mainly analyzed by a correspondence analysis. The structural elements in groups I and II were divided into seven and six clusters, respectively, by cluster analysis. Correspondence analysis revealed clear monthly changes in the words used in the mothers' comments as the pregnancy progressed in group I, whereas the association was not clear in group II. The text mining method was useful for exploratory analysis of the textual data obtained from pregnant women, and the monthly change in the words used in the mothers' comments as pregnancy progressed differed according to their degree of unease. © 2016 Japan Society of Obstetrics and Gynecology.

Multimedia and Textual Reading Comprehension: Multimedia as Personal Learning Environment’s Enriching Format

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Jose Daniel García Martínez

2017-01-01

Full Text Available In this article we will discuss part of a piece of research that was conducted with two 4ESO groups. Textual learning is opposed to multimedia learning within the context of PLE’s (Personal Learning Environment reading tools and strategies. In the research an analysis was made of whether it would be possible to improve the reading process through multimedia over a school term in two different aspects; one evolutionary with six classroom exercises and one evaluation with a final exercise. Concretely, this article states the number of question mistakes that the students made. The data indicates that there is a better evolution in students that performed the multimedia dynamic, although there are not any relevant differences in the final evaluation.

Meeting the Challenge of Preparing Social Workers for Integrated Health Practice: Evidence from Two MSW Cohorts

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Rishel, Carrie W.; Hartnett, Helen P.

2017-01-01

Changes in health care policy have led to an expansion of integrated care models that rely on collaboration among interprofessional health teams. Recent federal funding has encouraged the development of innovative training models to prepare social workers for integrated health practice. This article presents evidence from the first two MSW cohorts…

Integrating evidence into practice: use of McKenzie-based treatment for mechanical low back pain

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Clarke S

2011-11-01

Full Text Available Angela Dunsford1, Saravana Kumar1,2, Sarah Clarke1 1International Centre for Allied Health Evidence, 2School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia Abstract: Low back pain (LBP is a major health issue with significant socioeconomic implications in most Western countries. Many forms of treatment have been proposed and investigated in the past, with exercise being a commonly prescribed intervention. Within allied health, in particular physiotherapy, there has been a growing movement that recognizes the role of the McKenzie method in treating LBP. Within the McKenzie framework, directional preference (DP exercises are one such intervention, with preliminary data demonstrating its effectiveness in the management of LBP. In this paper, we aim to integrate the evidence from current research, identified using a systematic review, and utilize a practical real-life case scenario to outline how evidence from the literature can be implemented in clinical practice. The findings from the systematic review indicate that DP exercises may have positive effects in the management of LBP. While the body of evidence to support this is limited (only four studies and therefore modest at best, it does provide some emerging evidence to support the use of DP exercises in clinical practice. Despite this, gaps also persist in the literature on DP exercises, and this relates to the exercise parameters and the compliance rates. Recognizing this dichotomy (modest evidence in some areas and evidence gaps in other areas, which is likely to confront health practitioners, using a practical approach with a real-life clinical scenario, we outline how the evidence from the systematic review can be implemented in clinical practice. This approach builds on the philosophy of evidence-based practice of integrating research evidence with clinical expertise and patient values. Keywords: low back pain, McKenzie method, directional

Stock Prices, the Business Cycle and Contingent Change: Evidence from Bloomberg News Market Wraps

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Nicholas Mangee

2014-01-01

This study provides evidence that stock market participants revise their forecasting strategies in response to macroeconomic news contingent on the state of the economy. This study utilizes Mangee (2011)'s novel dataset based on textual information contained in Bloomberg News's end-of-the-day stock market reports. A key finding is that macroeconomic news is reported to impact stock prices with a positive relation on some days and a negative one on others. The Bloomberg data show that, on aver...

Gramática y producción textual: bases lingüísticas para la intervención didáctica | Grammar and Textual production: Linguistic Bases for Educational Intervention

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Francisco Javier Perea Siller

2015-05-01

Full Text Available Resumen El aprendizaje de la gramática en la enseñanza secundaria continúa utilizando una metodología deductiva, a la vez que se presenta desconectada de los otros componentes de la enseñanza-aprendizaje de la asignatura Lengua castellana y literatura. Para escapar de los planteamientos deductivos, en primer lugar adoptamos un punto de vista discursivo; en segundo lugar, proponemos partir del conocimiento de la producción escrita de los estudiantes, caracterizada por la pobreza de recursos y la presencia de errores. La Lingüística de Corpus permite conocer el primer aspecto, por ejemplo, nexos para conectar partes del texto. Por su parte, el Análisis de Errores revela las incorrecciones que en mayor medida cometen los estudiantes, tales como problemas de correferencia en textos narrativos o solecismos y errores pragmáticos en textos argumentativos. Estas dificultades, situadas en contextos textuales concretos, deben proponerse como los principales objetos de aprendizaje de la gramática a la vez que deben incidir en la forma en la que el profesor afronta la gramática. Abstract Secondary schools still use a deductive approach in learning grammar. Besides, grammar learning continues to be disconnected from the other components of the teaching and learning of the subject Lengua Castellana y Literatura. To avoid the deductive approach, firstly we adopt a discursive point of view; secondly, we propose to start with the knowledge of our students’ written productions, which are characterized mainly by poverty of resources and the presence of errors. Corpus Linguistics allows us to know the first aspect, for example, links to connect parts of the text. Meanwhile, Error Analysis reveals the inaccuracies that the students produce, such as coreference problems in narrative texts or solecisms and pragmatic errors in argumentative texts. Such difficulties, situated in specific textual contexts, should be proposed as the main objects of grammar

Comprensión y producción textual narrativa en preescolares

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Luz Stella López Silva

2014-01-01

Full Text Available Este estudio buscó identificar y describir las habilidades de comprensión y producción textual narrativa de 158 estudiantes de transición de estrato 1 y 2 de colegios públicos de la ciudad de Barranquilla (Colombia. Para evaluar esta capacidad se les pidió a los niños que narraran un texto que se les había leído anteriormente. Las muestras de lenguaje se analizaron utilizando el software SALT y posteriormente se utilizó el software SPSS para realizar los análisis descriptivos. Se consideró la estructura organizativa microestructura, macroestructura y superestructura desde el nivel de comprensión literal e inferencial. Se encontró que la mayoría de los niños tienen un desarrollo narrativo acorde con su edad, sin embargo, la elaboración inferencial fue escasa, lo que posiblemente afectó la comprensión de la historia por parte de los mismos.

Apprehensions of nurse managers on evidence-based practice

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Fernanda Carolina Camargo

2017-12-01

Full Text Available Abstract Objective: To analyze the apprehensions of nurse managers in the implementation of the Evidence Based Practice in a Teaching Hospital of Triângulo Mineiro. Method: Qualitative research guided by the Theory of the Diffusion of Innovations. Five workshops were conducted per focal group (n = 18 participants, conducted by hermeneutic-dialectic interactions between August and September/2016. Textual records resulting from each workshop were analyzed by semantic categories. Results: Aspects conditioning to the implementation of the Evidence Based Practice permeate from elements related to the fragmentation of the care network to the necessary expansion of the governability of the nurse managers to put changes into practice in their sectors. Most importantly, timely access to the results of research conducted at the teaching hospital was mentioned as crucial to guide better practices. Final considerations: The approach allowed the recognition of contextual conditions for the implementation of the Evidence-Based Practice, which may coincide with similar scenarios, as well as increase the national scientific production on the subject, which is still scarce.

Toward the Integration of Meditation into Higher Education: A Review of Research Evidence

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Shapiro, Shauna L.; Brown, Kirk Warren; Astin, John A.

2011-01-01

Context: There is growing interest in the integration of meditation in higher education. Purpose: Here, we review evidence bearing on the utility of meditation to facilitate the achievement of traditional educational goals and to enhance education of the "whole person." Research Design: We examine how meditation practices may help foster important…

Intercultural Passages in Ottó Tolnai’s Textual Universe

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Ispánovics Csapó Julianna

2014-12-01

Full Text Available The literary palette of Tolnai’s textual universe within the Hungarian literature from Vojvodina is based, among others, upon the intertwining of various cultural entities. The social and cultural spaces of “Big Yugoslavia,” the phenomena, figures, and works of the European-oriented Yugoslav and ethnic culture (literature, painting, book publishing, theatre, sports, etc., the mentalities of the migrant worker’s life, the legends of the Tito cult embed the narrative procedures of particular texts by Tolnai into a rich culture-historical context. Similarly to the model of Valery’s Mediterranean, the narrator’s Janus-faced Yugoslavia simultaneously generates concrete and utopian spaces, folding upon one another. Above the micro spaces (towns, houses, flats evolving along the traces of reality, there float the Proustian concepts of scent and colour of the Adriatic sea (salt, azure, mimosa, lavender, laurel. The nostalgia towards the lost Eden rises high and waves about the “grand form” of Big Yugoslavia, the related space of which is the Monarchy. The counterpoints of the grand forms are “the small, void forms,” provinces, regions (Vojvodina, North Bačka and the micro spaces coded into them. The text analyses of the paper examine the intercultural motions and identityforming culture-historical elements of the outlined space system.

Uma análise da coesão textual e da estrutura narrativa em textos escritos por adolescentes surdos Textual cohesion and narrative structure in written texts produced by deaf adolescents

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Viviany Meirelles

2004-04-01

Full Text Available Considerando que os surdos utilizam diferentes formas de comunicação, investigou-se se tal fator influenciaria a produção escrita de textos. Quarenta adolescentes surdos com perda auditiva profunda, alunos de 5ª à 7ª série do ensino fundamental foram igualmente divididos em dois grupos: usuários da LIBRAS e surdos oralizados. A partir de uma seqüência de gravuras, cada participante produziu uma história escrita que foi analisada quanto à qualidade da estrutura narrativa e quanto ao estabelecimento de cadeias coesivas. Os resultados mostraram que a coesão textual é um problema para os surdos, não havendo diferenças entre os grupos. Embora as produções apresentassem limitações quanto à estrutura narrativa, verificou-se que um maior número de surdos oralizados produzia histórias mais elaboradas do que os usuários da LIBRAS. As diferenças entre grupos e dificuldades encontradas são interpretadas a partir do pouco contato que os surdos têm com textos em seu cotidiano. Implicações educacionais são discutidas.Deaf individuals use different forms of communication: oral language and sign language. This study investigated whether these forms of communication would have an effect on text production. Forty deaf adolescents were equally divided into two groups: those who used sign language (LIBRAS and those who used Portuguese in its oral form. Each participant was asked to write a story from a sequence of pictures. The stories were analyzed according to their cohesiveness and to their narrative structure. It was found that both groups had difficulties in establishing textual cohesion in their stories. Although both groups produced stories with an elementary structure, deaf adolescents who used oral language produced stories more elaborated than those who used sign language. Differences between groups and the difficulties the participants had are interpreted as a function of their limited contact with written texts in their

The Evidence-base for Using Ontologies and Semantic Integration Methodologies to Support Integrated Chronic Disease Management in Primary and Ambulatory Care: Realist Review. Contribution of the IMIA Primary Health Care Informatics WG.

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Liyanage, H; Liaw, S-T; Kuziemsky, C; Terry, A L; Jones, S; Soler, J K; de Lusignan, S

2013-01-01

Most chronic diseases are managed in primary and ambulatory care. The chronic care model (CCM) suggests a wide range of community, technological, team and patient factors contribute to effective chronic disease management. Ontologies have the capability to enable formalised linkage of heterogeneous data sources as might be found across the elements of the CCM. To describe the evidence base for using ontologies and other semantic integration methods to support chronic disease management. We reviewed the evidence-base for the use of ontologies and other semantic integration methods within and across the elements of the CCM. We report them using a realist review describing the context in which the mechanism was applied, and any outcome measures. Most evidence was descriptive with an almost complete absence of empirical research and important gaps in the evidence-base. We found some use of ontologies and semantic integration methods for community support of the medical home and for care in the community. Ubiquitous information technology (IT) and other IT tools were deployed to support self-management support, use of shared registries, health behavioural models and knowledge discovery tools to improve delivery system design. Data quality issues restricted the use of clinical data; however there was an increased use of interoperable data and health system integration. Ontologies and semantic integration methods are emergent with limited evidence-base for their implementation. However, they have the potential to integrate the disparate community wide data sources to provide the information necessary for effective chronic disease management.

The Evolution of Consciousness as a Planetary Imperative: An Integration of Integral Views

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Jennifer Gidley

2007-12-01

Full Text Available In this article I aim to broaden and deepen the evolution of consciousness discourse by integrating the integral theoretic narratives of Rudolf Steiner, Jean Gebser, and Ken Wilber, who each point to the emergence of new ways of thinking that could address the complex, critical challenges of our planetary moment. I undertake a wide scan of the evolution discourse, noting it is dominantly limited to biology-based notions of human origins that are grounded in scientific materialism. I then broaden the discourse by introducing integral evolutionary theories using a transdisciplinary epistemology to work between, across and beyond diverse disciplines. I note the conceptual breadth of Wilber’s integral evolutionary narrative in transcending both scientism and epistemological isolationism. I also draw attention to some limitations of Wilber’s integral project, notably his undervaluing of Gebser’s actual text, and the substantial omission of the pioneering contribution of Steiner, who, as early as 1904 wrote extensively about the evolution of consciousness, including the imminent emergence of a new stage. I enact a deepening of integral evolutionary theory by honoring the significant yet undervalued theoretic components of participation/enactment and aesthetics/artistry via Steiner and Gebser, as a complement to Wilber. To this end, I undertake an in-depth hermeneutic dialogue between their writings utilizing theoretic bricolage, a multi-mode methodology that weaves between and within diverse and overlapping perspectives. The hermeneutic methodology emphasizes interpretive textual analysis with the aim of deepening understanding of the individual works and the relationships among them. This analysis is embedded in an epic but pluralistic narrative that spans the entire human story through various previous movements of consciousness, arriving at a new emergence at the present time. I also discuss the relationship between these narratives and

Computers in the Teaching of English as a Foreign Language: Access to the Diversity of Textual Genres and Language Skills

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Dos Santos, Roberto-Márcio; Sobrinho, Jerônimo Coura

In the area of language teaching both language skills and textual genres can be worked with simultaneously (thus responding to the Brazilian Curricular Parameters and to the trends in contemporary education, which emphasize contextualized teaching) by means of computers. Computers can make the teaching process dynamic and rich, since they enable the access to the foreign language through virtual environments, which creates a larger number of learning contexts, with all their specific vocabulary and linguistic features in real communication. This study focuses on possible applications of this kind of approach. The computer online is a resource of diverse textual genres and can be an important tool in the language classroom as well as an access to authentic material produced in contextualized practice close to real-life communication. On the other hand, all these materials must be appropriately used without ever worshipping the technology as if it were a miraculous solution. After all, the professional pedagogic skills of the teacher should never be forgotten or taken for granted. In this study, a series of interviews with teachers was carried out - both with Brazilian teachers of the public sector (basic education) and language institutes (private English courses) as well as teacher trainers (university professors), in order to verify if the teachers were prepared to work with informatics in teaching practices, and check the professionals’ views on the subject. The ideas of Maingueneau and Marcuschi about textual genres are a theoretical base in this work, besides the concept of cognitive economy. The text and its typology are focused here as the basic material for teaching English, through digital technologies and hypermedia. The study is also based on Sharma and Barrett’s notion of blended learning as a balanced combination of technological resources and traditional practices in the classroom. Thus, this is an attempt to investigate the relevance of

Experiential thinking in creationism--a textual analysis.

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Nieminen, Petteri; Ryökäs, Esko; Mustonen, Anne-Mari

2015-01-01

Creationism is a religiously motivated worldview in denial of biological evolution that has been very resistant to change. We performed a textual analysis by examining creationist and pro-evolutionary texts for aspects of "experiential thinking", a cognitive process different from scientific thought. We observed characteristics of experiential thinking as follows: testimonials (present in 100% of sampled creationist texts), such as quotations, were a major form of proof. Confirmation bias (100% of sampled texts) was represented by ignoring or dismissing information that would contradict the creationist hypothesis. Scientifically irrelevant or flawed information was re-interpreted as relevant for the falsification of evolution (75-90% of sampled texts). Evolutionary theory was associated to moral issues by demonizing scientists and linking evolutionary theory to atrocities (63-93% of sampled texts). Pro-evolutionary rebuttals of creationist claims also contained testimonials (93% of sampled texts) and referred to moral implications (80% of sampled texts) but displayed lower prevalences of stereotypical thinking (47% of sampled texts), confirmation bias (27% of sampled texts) and pseudodiagnostics (7% of sampled texts). The aspects of experiential thinking could also be interpreted as argumentative fallacies. Testimonials lead, for instance, to ad hominem and appeals to authorities. Confirmation bias and simplification of data give rise to hasty generalizations and false dilemmas. Moral issues lead to guilt by association and appeals to consequences. Experiential thinking and fallacies can contribute to false beliefs and the persistence of the claims. We propose that science educators would benefit from the systematic analysis of experiential thinking patterns and fallacies in creationist texts and pro-evolutionary rebuttals in order to concentrate on scientific misconceptions instead of the scientifically irrelevant aspects of the creationist-evolutionist debate.

The Army and the Academy as Textual Communities: Exploring Mismatches in the Concepts of Attribution, Appropriation, and Shared Goals

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2010-01-01

writing manual, Student Text 22-1, provides information on plagiarism violations, which are "subject to review and may be referred to an academic board...charges of plagiarism were leveled by an academic who recognized in the manual various ideas and text from previous published sources. In many ways...worried about academic plagiarism may believe that revealing variations in textual practices "sends a message" to students that rules can be bent in

Introduction to the history and current status of evidence-based korean medicine: a unique integrated system of allopathic and holistic medicine.

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Yin, Chang Shik; Ko, Seong-Gyu

2014-01-01

Objectives. Korean medicine, an integrated allopathic and traditional medicine, has developed unique characteristics and has been active in contributing to evidence-based medicine. Recent developments in Korean medicine have not been as well disseminated as traditional Chinese medicine. This introduction to recent developments in Korean medicine will draw attention to, and facilitate, the advancement of evidence-based complementary alternative medicine (CAM). Methods and Results. The history of and recent developments in Korean medicine as evidence-based medicine are explored through discussions on the development of a national standard classification of diseases and study reports, ranging from basic research to newly developed clinical therapies. A national standard classification of diseases has been developed and revised serially into an integrated classification of Western allopathic and traditional holistic medicine disease entities. Standard disease classifications offer a starting point for the reliable gathering of evidence and provide a representative example of the unique status of evidence-based Korean medicine as an integration of Western allopathic medicine and traditional holistic medicine. Conclusions. Recent developments in evidence-based Korean medicine show a unique development in evidence-based medicine, adopting both Western allopathic and holistic traditional medicine. It is expected that Korean medicine will continue to be an important contributor to evidence-based medicine, encompassing conventional and complementary approaches.

Introduction to the History and Current Status of Evidence-Based Korean Medicine: A Unique Integrated System of Allopathic and Holistic Medicine

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Chang Shik Yin

2014-01-01

Full Text Available Objectives. Korean medicine, an integrated allopathic and traditional medicine, has developed unique characteristics and has been active in contributing to evidence-based medicine. Recent developments in Korean medicine have not been as well disseminated as traditional Chinese medicine. This introduction to recent developments in Korean medicine will draw attention to, and facilitate, the advancement of evidence-based complementary alternative medicine (CAM. Methods and Results. The history of and recent developments in Korean medicine as evidence-based medicine are explored through discussions on the development of a national standard classification of diseases and study reports, ranging from basic research to newly developed clinical therapies. A national standard classification of diseases has been developed and revised serially into an integrated classification of Western allopathic and traditional holistic medicine disease entities. Standard disease classifications offer a starting point for the reliable gathering of evidence and provide a representative example of the unique status of evidence-based Korean medicine as an integration of Western allopathic medicine and traditional holistic medicine. Conclusions. Recent developments in evidence-based Korean medicine show a unique development in evidence-based medicine, adopting both Western allopathic and holistic traditional medicine. It is expected that Korean medicine will continue to be an important contributor to evidence-based medicine, encompassing conventional and complementary approaches.

Integrating medical humanities into a pharmaceutical care seminar on dementia.

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Zimmermann, Martina

2013-02-12

Objective. To design, integrate, and assess the effectiveness of a medical humanities teaching module that focuses on pharmaceutical care for dementia patients.Design. Visual and textual dementia narratives were presented using a combination of teacher and learner-centered approaches with the aim being to highlight patients' and caregivers' needs for empathy and counselling.Assessment. As gauged from pre- and post-experience questionnaires, students highly rated this approach to teaching medical humanities. In-class presentations demonstrated students' increased sensitivity to patient and caregiver needs, while objective learning outcomes demonstrated students' increased knowledge and awareness.Conclusions. Pharmacy students were open to and successfully learned from reading and discussing patient and caregiver narratives, which furthers the discussion on the value of integrating the medical humanities into the curricula of pharmacy and other health sciences.

Integrating chemical and biological status assessment: Assembling lines of evidence for the evaluation of river ecosystem risk

International Nuclear Information System (INIS)

Munoz Gracia, Isabel; Sabater, Sergi

2014-01-01

This paper describes various approaches to evaluating ecological risk in rivers affected by multiple chemical stressors, with emphasis on biofilm and invertebrate community responses. Metrics should be considered as different lines of evidence that, when weighted, form an advanced weight of evidence approach to establishing the environmental risk on a basin scale. Combination of field surveys to obtain observational data of communities, in situ experiments, toxicological sediment tests and a good chemical description of the medium (water and sediment) helps give an integrative view of the chemical and biological state of a river ecosystem. The greater and more distinct the variables used, the greater is our ability to identify the effects of major stressors impairing communities. Weight of evidence is an integrative methodology for tackling the challenge of determining causal relations and applying this knowledge in the decision-making processes of river management.

Using pedagogical approaches to influence evidence-based practice integration - processes and recommendations: findings from a grounded theory study.

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Malik, Gulzar; McKenna, Lisa; Griffiths, Debra

2017-04-01

The study aimed to explore the processes undertaken by nurse academics when integrating evidence-based practice (EBP) into their teaching and learning practices. This article focuses on pedagogical approaches employed by academics to influence evidence-based practice integration into undergraduate programs across Australian universities. Nursing academics are challenged to incorporate a variety of teaching and learning strategies to teach evidence-based practice and determine their effectiveness. However, literature suggests that there are limited studies available focusing on pedagogical approaches in evidence-based practice education. A constructivist grounded theory methodology, informed by Charmaz was used for this study. Data were collected during 2014 from 23 nurse academics across Australian universities through semi-structured interviews. Additionally, nine were observed during teaching of undergraduate students. Twenty subject outlines were also analysed following Charmaz's approach of data analysis. 'Influencing EBP integration' describes the pedagogical approaches employed by academics to incorporate EBP knowledge and skills into undergraduate curricula. With the use of various teaching and learning strategies, academics attempted to contextualize EBP by engaging students with activities aiming to link evidence to practice and with the EBP process. Although, some strategies appeared to be engaging, others were traditional and seemed to be disengaging for students due to the challenges experienced by participants that impeded the use of the most effective teaching methods. Study findings offer valuable insights into the teaching practices and identify some key challenges that require the adoption of appropriate strategies to ensure future nurses are well prepared in the paradigm of evidence-based practice. © 2016 John Wiley & Sons Ltd.

Is ASEAN Ready for Banking Integration? Evidence from Interest Rate Convergence

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Fazelina Sahul Hamid

2016-07-01

Full Text Available Convergence in prices or returns of assets with similar characteristics indicates that the financial market is integrated with regional markets. This paper is the first that test of the movements of interest rates in ASEAN banking sector for the period 1990 - 2012. The empirical analysis is based on a yearly panel of commercial bank interest rate data from 5 ASEAN countries, namely, Indonesia, Malaysia, Philippines, Singapore and Thailand. We assessed the degree and speed of interest rate convergence using beta and sigma convergence method. The findings show that the difference and the dispersion in the interbank rates have reduced since the Asian financial crisis and this trend has become stronger after the Global financial crisis. The findings of this study confirm that interest rates in the ASEAN banking sector are converging. This provides evidence that the ASEAN banking sector is ready for financial integration.

Cross-border integration in the European electricity market. Evidence from the pricing behavior of Norwegian and Swiss exporters

International Nuclear Information System (INIS)

Balaguer, Jacint

2011-01-01

This paper examines the electricity market integration process in two European areas based on the pricing behavior of Norwegian and Swiss exporters. The aim is to gain evidence for the period after the adoption of the 'Second Legislative Package' (2003). The pricing behavior of Norwegian exporters indicates that the wholesale markets for Denmark and Sweden are highly integrated. Moreover, results are fully compatible with the existence of a very competitive marketplace for electricity. This clearly contrasts with the evidence provided by Swiss exporters. In this last case, analysis revealed differences in pricing-to-market behavior between Italy, France and Germany, which indicates that exporters take advantage of international market segmentation and divergences between market structures. This outcome provides a reasonable explanation as to why price differences between countries cannot be fully attributed to transmission costs, as has been claimed in previous research. We also found cross-country convergence in levels of markups and in pricing-to-market behavior of the Swiss exporters for the first part of the period that was analyzed. The evidence is fully consistent with an initial impulse toward market integration originated by reforms implemented at the beginning of the last decade. - Highlights: → We exploit a model based on pricing-to-market behavior. → Price discrimination by Swiss exporters is found. → Nordic electricity markets are found to be already highly integrated. → Market integration was recently improved in continental area. → Results are consistent with reforms under the 'Second Legislative Package'.

Cross-border integration in the European electricity market. Evidence from the pricing behavior of Norwegian and Swiss exporters

Energy Technology Data Exchange (ETDEWEB)

Balaguer, Jacint, E-mail: jacint.balaguer@eco.uji.es [Department of Economics, Universitat Jaume I, 12071 Castellon (Spain)

2011-09-15

This paper examines the electricity market integration process in two European areas based on the pricing behavior of Norwegian and Swiss exporters. The aim is to gain evidence for the period after the adoption of the 'Second Legislative Package' (2003). The pricing behavior of Norwegian exporters indicates that the wholesale markets for Denmark and Sweden are highly integrated. Moreover, results are fully compatible with the existence of a very competitive marketplace for electricity. This clearly contrasts with the evidence provided by Swiss exporters. In this last case, analysis revealed differences in pricing-to-market behavior between Italy, France and Germany, which indicates that exporters take advantage of international market segmentation and divergences between market structures. This outcome provides a reasonable explanation as to why price differences between countries cannot be fully attributed to transmission costs, as has been claimed in previous research. We also found cross-country convergence in levels of markups and in pricing-to-market behavior of the Swiss exporters for the first part of the period that was analyzed. The evidence is fully consistent with an initial impulse toward market integration originated by reforms implemented at the beginning of the last decade. - Highlights: > We exploit a model based on pricing-to-market behavior. > Price discrimination by Swiss exporters is found. > Nordic electricity markets are found to be already highly integrated. > Market integration was recently improved in continental area. > Results are consistent with reforms under the 'Second Legislative Package'.

Integrative Therapies and Pediatric Inflammatory Bowel Disease: The Current Evidence.

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Misra, Sanghamitra M

2014-08-25

Inflammatory bowel disease (IBD) primarily describes two distinct chronic conditions with unknown etiology, ulcerative colitis (UC) and Crohn's disease (CD). UC is limited to the colon, while CD may involve any portion of the gastrointestinal tract from mouth to anus. These diseases exhibit a pattern of relapse and remission, and the disease processes are often painful and debilitating. Due to the chronic nature of IBD and the negative side effects of many of the conventional therapies, many patients and their families turn to complementary and alternative medicine (CAM) for symptom relief. This article focuses on the current available evidence behind CAM/integrative therapies for IBD.

Contexto de produção e o estabelecimento da coerência na escrita de histórias por crianças Contexts of textual production and the construction of coherence in stories written by children

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Ana Paula Perdigão Pessoa

2010-01-01

Full Text Available O presente artigo examina a influência da escolaridade e do contexto de produção textual na escrita de histórias por crianças das primeiras séries do Ensino Fundamental. Na primeira condição, as crianças produziram uma história inventada por elas. Na segunda, as crianças foram orientadas a reproduzirem por escrito um conto clássico infantil. As histórias foram classificadas segundo níveis distintos e crescentes de complexidade narrativa e de coerência. A escolaridade e as condições de produção influenciaram o estabelecimento da coerência textual, sendo que o efeito do contexto de produção sobre a escrita de história não foi o mesmo para todas as crianças. A sensibilidade ao contexto de produção estaria relacionada ao grau de domínio de um esquema narrativo de histórias apresentado pela criança.This study examines the influence of schooling and the context of textual production on stories written by 1st and 2nd graders. In the first condition, children were asked to write original stories. In the second condition, they were asked to reproduce in writing a classical tale for children. The stories were classified according to the complexity and coherence of the narrative. Results indicate that schooling and condition of text production influenced the establishment of textual coherence. However, the effect of the contexts of textual production on children's writing was not the same for all children. Sensitivity to the contexts of text production seemed to have been related to children's awareness of narrative schema.

Taking Stock: Marie Nimier’s Textual Cabinet of Curiosities

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Adrienne Angelo

2014-01-01

Full Text Available In many life-writing projects, the seemingly innocuous description of heteroclite objects and how those objects are stored and recalled in fact plays an important role in demonstrating their importance to the process of memory work. At once the lingering traces of one’s past and also an aggregation of stories evoked by an examination of them, these curios focus attention on the relationship between the individual and the storage of memories. This article will focus on certain collectibles, collections and collectors that appear throughout the fictional, autobiographical and autofictional world that Marie Nimier has scripted to date. This textual cabinet of curiosities and the act of collecting more generally serve as a trope to connect memory with materiality, despite the numerous narrative voices that Nimier assumes—voices that move from a first-person “Marie Nimier” to an unnamed, although clearly identifiable first-person and even float between genders. Despite this nominal and narrational fluidity, objects function to guarantee recognition, both for the reader, and, especially, for the author herself. What is at stake in this intertextual assemblage of objects is not only the roles that they play in allowing the narrator to revisit past traumas and loss, but also in connecting the author’s presence to other, more fictionalized voices that above all signify the primacy of life-writing in her corpus.

Sistema de ejercicios para el desarrollo de la construcción textual en los estudiantes no hispanohablantes

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Guadalupe García González

2017-05-01

Full Text Available Esta investigación consiste en la elaboración de un sistema de ejercicios para el desarrollo de la construcción textual en los estudiantes del curso Preparatorio de la Escuela Latinoamericana de Medicina (ELAM, debido a que presentan dificultades en los componentes funcionales de la asignatura, especialmente para lograr la competencia en la comunicación escrita. La propuesta tiene como base teórica y metodológica el enfoque cognitivo, comunicativo y sociocultural porque permite el estudio de la lengua como un todo, mediante la integración de perspectivas abordadas por diferentes ramas de la lingüística. El objetivo de este trabajo consiste en elaborar un sistema de ejercicios para el trabajo con la construcción textual que contribuya al desarrollo de la competencia cognitiva, comunicativa y sociocultural de los estudiantes del Curso Preparatorio de la ELAM. Se utilizan métodos teóricos y empíricos entre los que se encuentran el analítico-sintético, la inducción-deducción, el histórico-lógico y el estudio documental. La propuesta de ejercicios permitirá elevar el nivel de construcción de los estudiantes del curso preparatorio ya que tiene en cuenta la integración de los componentes de la enseñanza de la lengua y se basa en situaciones comunicativas que motivan y obligan a los estudiantes a reflexionar acerca de los medios más adecuados para cada una de ellas.

Experiential Thinking in Creationism—A Textual Analysis

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Nieminen, Petteri; Ryökäs, Esko; Mustonen, Anne-Mari

2015-01-01

Creationism is a religiously motivated worldview in denial of biological evolution that has been very resistant to change. We performed a textual analysis by examining creationist and pro-evolutionary texts for aspects of “experiential thinking”, a cognitive process different from scientific thought. We observed characteristics of experiential thinking as follows: testimonials (present in 100% of sampled creationist texts), such as quotations, were a major form of proof. Confirmation bias (100% of sampled texts) was represented by ignoring or dismissing information that would contradict the creationist hypothesis. Scientifically irrelevant or flawed information was re-interpreted as relevant for the falsification of evolution (75–90% of sampled texts). Evolutionary theory was associated to moral issues by demonizing scientists and linking evolutionary theory to atrocities (63–93% of sampled texts). Pro-evolutionary rebuttals of creationist claims also contained testimonials (93% of sampled texts) and referred to moral implications (80% of sampled texts) but displayed lower prevalences of stereotypical thinking (47% of sampled texts), confirmation bias (27% of sampled texts) and pseudodiagnostics (7% of sampled texts). The aspects of experiential thinking could also be interpreted as argumentative fallacies. Testimonials lead, for instance, to ad hominem and appeals to authorities. Confirmation bias and simplification of data give rise to hasty generalizations and false dilemmas. Moral issues lead to guilt by association and appeals to consequences. Experiential thinking and fallacies can contribute to false beliefs and the persistence of the claims. We propose that science educators would benefit from the systematic analysis of experiential thinking patterns and fallacies in creationist texts and pro-evolutionary rebuttals in order to concentrate on scientific misconceptions instead of the scientifically irrelevant aspects of the creationist�

Experiential thinking in creationism--a textual analysis.

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Petteri Nieminen

Full Text Available Creationism is a religiously motivated worldview in denial of biological evolution that has been very resistant to change. We performed a textual analysis by examining creationist and pro-evolutionary texts for aspects of "experiential thinking", a cognitive process different from scientific thought. We observed characteristics of experiential thinking as follows: testimonials (present in 100% of sampled creationist texts, such as quotations, were a major form of proof. Confirmation bias (100% of sampled texts was represented by ignoring or dismissing information that would contradict the creationist hypothesis. Scientifically irrelevant or flawed information was re-interpreted as relevant for the falsification of evolution (75-90% of sampled texts. Evolutionary theory was associated to moral issues by demonizing scientists and linking evolutionary theory to atrocities (63-93% of sampled texts. Pro-evolutionary rebuttals of creationist claims also contained testimonials (93% of sampled texts and referred to moral implications (80% of sampled texts but displayed lower prevalences of stereotypical thinking (47% of sampled texts, confirmation bias (27% of sampled texts and pseudodiagnostics (7% of sampled texts. The aspects of experiential thinking could also be interpreted as argumentative fallacies. Testimonials lead, for instance, to ad hominem and appeals to authorities. Confirmation bias and simplification of data give rise to hasty generalizations and false dilemmas. Moral issues lead to guilt by association and appeals to consequences. Experiential thinking and fallacies can contribute to false beliefs and the persistence of the claims. We propose that science educators would benefit from the systematic analysis of experiential thinking patterns and fallacies in creationist texts and pro-evolutionary rebuttals in order to concentrate on scientific misconceptions instead of the scientifically irrelevant aspects of the creationist

Intertextualidade e produção textual: análise das narrativas do CELLIJ

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Edna Mara da Silva de Souza

2013-12-01

Full Text Available The textual construction already stated Bakhtin (2006 is permeated with intertextuality, ie a text takes from other texts, from this perspective, this study examines the intertextuality and the representation of narrative structure presented by students who participated in the workshops creative production of texts after storytime at the Centre for Studies in Reading and Children's and Youth Literature Betty Maria Coelho Silva (CELLIJ at UNESP campus of Presidente Prudente - SP. This paper presents a reflection on the importance of offering new narratives, whether through storytelling or reading literary texts, to build the child repertoire. From the reading of the corpus nine selected texts, we observed a strong influence of the heroes of commercial films and television series in child production, as well as a tendency writing conditional structure of fairy tales.

El hipertexto en la Enseñanza Media en Chile: ¿Es pertinente aplicar los enfoques textuales tradicionales?

OpenAIRE

Teresa Ayala Pérez

2012-01-01

Los textos digitales constituyen parte importante de la comunicación en la sociedad de la información y recientemente han sido incluidos en los programas de Lenguaje y Comunicación de E.M. en Chile. Ante esta situación, cabe preguntarse si los tradicionales enfoques textuales, elaborados a partir del texto impreso en los años 70 y 80 y utilizados actualmente en Enseñanza Media, resultan aplicables al hipertexto. En este trabajo se describen algunos rasgos de este tipo de texto y se reflexiona...

Current evidence on antenatal care provision for women with intellectual disabilities: A systematic review.

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Homeyard, Claire; Montgomery, Elsa; Chinn, Deborah; Patelarou, Evridiki

2016-01-01

changing attitudes, alongside integration, more independent living and recognition of rights to family life have meant a steady rise in women with intellectual disabilities becoming pregnant. However, existing evidence shows that women with intellectual disabilities are less likely to seek or attend for regular antenatal care. This population experiences poorer maternal wellbeing and worse pregnancy outcomes compared to the general population, including preterm and low-birthweight babies. to identify and review the existing evidence on the provision of antenatal care among women with intellectual disabilities. a systematic search strategy was formulated using key Medical Sub-Headings terms and related text words for pregnancy, antenatal care and intellectual disability. Comprehensive searches dating back to 1980 using pre-determined criteria followed by a hand search of reference lists and citations were undertaken. Data were extracted using a data extraction form and methodological quality assessed using the framework developed by Caldwell et al. (2011). A three stage textual narrative synthesis was used to integrate the findings from the included studies. searches identified 16 papers that met the inclusion criteria. A majority of the papers focused on women's experience of pregnancy and antenatal care with a paucity of papers identified on midwives knowledge and experience. The four broad themes of the analysis and synthesis performed included: In the Family Way ('I've a baby inside. I've got a life inside of me.׳); Knowledge and advocacy ('...everyone was looking at one another and no one was talking to me...'); Midwives educational needs ('...helpful to have guidance...') and Midwives Attitudes ('...women with [intellectual disabilities]...should not be pregnant'). significant gaps in the evidence base were apparent, however evidence was identified which showed that intellectually disabled pregnant women struggle to understand antenatal information

O ENSINO DE PRODUÇÃO TEXTUAL EM FOCO: UMA LEITURA DE “MINHAS FÉRIAS, PULA UMA LINHA, PARÁGRAFO”, DE CHRISTIANE GRIBEL

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Francisco Vieira Silva

2014-02-01

Full Text Available O ensino de produção textual tem sido amplamente estudado por diversos autores interessados em compreender as concepções teóricas que norteiam as práticas pedagógicas dos docentes de língua materna nas aulas de produção. Desse modo, práticas que concebem a produção de texto como um produto (e não como um processo que requer diferentes etapas são desveladas a partir das pesquisas realizadas por diferentes autores em todo o país. O trabalho que ora apresentamos inscreve-se no rol dessas pesquisas, a partir do momento em que lança um olhar no sentido de compreender a perspectiva dita tradicional de produção de texto que, muitas vezes, prevalece na maior parte nas aulas de produção, bem como entender os efeitos que provêm dessa prática. Para tanto, interessa-nos discutir a concepção de produção de texto subjacente à obra literária “Minhas férias, pula uma linha, parágrafo” de Christiane Gribel. Nessa obra, a autora registra os dilemas de um garoto que retorna às aulas e precisa escrever a famosa redação, cujo título já se cristalizou como uma espécie de clichê: minhas férias. A obra traz à tona um debate acerca da percepção sobre a produção textual como uma atividade que não cumpre uma função sociocomunicativa, esvaziada de sentido, de modo que os textos produzidos pelos discentes não possuem leitores reais. Dessa maneira, procuraremos travar um diálogo entre a prática de produção que emerge da obra analisada e as concepções teóricas de autores como Bakhtin (2011 enfocando a noção de gênero discursivo, Marcuschi (2010, Bunzen (2006, Antunes (2003; 2006; 2009, Geraldi (2001, os PCN (2001, dentre outros. A partir da análise da obra, convém propor um direcionamento para a produção textual que leve em consideração a natureza sócio-histórica, discursiva e dialógica da linguagem, abarcando, pois, o estudo e a produção dos diferentes gêneros textuais existentes nas mais variadas

Evidence-based educational pathway for the integration of first aid training in school curricula.

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De Buck, Emmy; Van Remoortel, Hans; Dieltjens, Tessa; Verstraeten, Hans; Clarysse, Matthieu; Moens, Olaf; Vandekerckhove, Philippe

2015-09-01

"Calling for help, performing first aid and providing Cardiopulmonary Resuscitation (CPR)" is part of the educational goals in secondary schools in Belgium (Flanders). However, for teachers it is not always clear at what age children can be taught which aspects of first aid. In addition, it is not clear what constitutes "performing first aid" and we strongly advocate that the first aid curriculum is broader than CPR training alone. To develop an evidence-based educational pathway to enable the integration of first aid into the school curriculum by defining the goals to be achieved for knowledge, skills and attitudes, for different age groups. Studies were identified through electronic databases research (The Cochrane Library, MEDLINE, Embase). We included studies on first aid education for children and adolescents up to 18 years old. A multidisciplinary expert panel formulated their practice experience and expert opinion and discussed the available evidence. We identified 5822 references and finally retained 30 studies (13 experimental and 17 observational studies), including studies concerning emergency call (7 studies), cardiopulmonary resuscitation (18 studies), AED (Automated External Defibrillator) use (6 studies), recovery position (5 studies), choking (2 studies), injuries (5 studies), and poisoning (2 studies). Recommendations (educational goals) were derived after carefully discussing the currently available evidence in the literature and balancing the skills and attitudes of children of different ages. An evidence-based educational pathway with educational goals concerning learning first aid for each age group was developed. This educational pathway can be used for the integration of first aid training in school curricula. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Integrating Radiology and Anatomy Teaching in Medical Education in the UK--The Evidence, Current Trends, and Future Scope.

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Heptonstall, N B; Ali, T; Mankad, K

2016-04-01

This review article presents the current evidence of the importance of integrating radiology and anatomy in medical education in the UK, a recommendation by a number of key anatomy, education, and radiology organizations. Current evidence highlights that on average only 5% of total teaching time in medical education is dedicated to radiology. Often, radiology teaching does not adequately fulfill students' learning needs and potentially leaves them underprepared for medical practice. Benefits of integrating radiology and anatomy include improved clinical application of anatomy, an increase in student's interest in anatomy, and ultimately improved radiological interpretation. Various modalities exist for the integration of radiology and anatomy, facilitated by the vast portability of radiological images. It appears that combining radiological resources with traditional anatomy teaching methodology in a blended approach is most beneficial. Copyright © 2016 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

A Conceptual Framework for Integration of Evidence-Based Design with Lighting Simulation Tools

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Anahita Davoodi

2017-09-01

Full Text Available The use of lighting simulation tools has been growing over the past years which has improved lighting analysis. While computer simulations have proven to be a viable tool for analyzing lighting in physical environments, they have difficulty in assessing the effects of light on occupant’s perception. Evidence-based design (EBD is a design method that is gaining traction in building design due to its strength in providing means to assess the effects of built environments on humans. The aim of this study was to develop a conceptual framework for integrating EBD with lighting simulation tools. Based on a literature review, it was investigated how EBD and lighting simulation can be combined to provide a holistic lighting performance evaluation method. The results show that they can mutually benefit from each other. EBD makes it possible to evaluate and/or improve performance metrics by utilizing user feedback. On the other hand, performance metrics can be used for a better description of evidence, and to analyze the effects of lighting with more details. The results also show that EBD can be used to evaluate light simulations to better understand when and how they should be performed. A framework is presented for integration of lighting simulation and EBD.

The Japanese Amateur Textual Production Scene: Activities and Participation

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Alvaro David Hernández Hernández

2016-12-01

Full Text Available Animation, manga (Japanese comic books, and video games are some of the most popular media in Japan. The huge community of fans and amateur creators that concentrate twice a year at the massive event called Comic Market is one expression of this popularity. In this paper I focus on the Japanese culture of amateur manga, anime or other derivative texts, and present analysis of the way in which members relate to media texts and other members, in order to reveal two different orientations towards action within this culture: one that centers on individual activities, and the other on collective participation. To do this, I focus first on the Japanese amateur culture that is often called dōjin culture to find two basic perspectives. One regards this culture as forming communities or based on social interaction, and the other denies commonality in the relationships between members and stresses individual drive. Then, I focus on a similar distinction that shapes the main discourses concerning Japanese subculture and otaku, both categories within which dōjin culture can be categorized. Here I pay particular attention to two different orientations towards the value of media texts, which provide a reference for understanding the aforementioned opposition between commonality and individuality. In my conclusions, I suggest that this amateur culture can be regarded as an institution of textual appropriation, shaped by two orientations: activities and participation. 

Vertical Integration of Hospitals and Physicians: Economic Theory and Empirical Evidence on Spending and Quality.

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Post, Brady; Buchmueller, Tom; Ryan, Andrew M

2017-08-01

Hospital-physician vertical integration is on the rise. While increased efficiencies may be possible, emerging research raises concerns about anticompetitive behavior, spending increases, and uncertain effects on quality. In this review, we bring together several of the key theories of vertical integration that exist in the neoclassical and institutional economics literatures and apply these theories to the hospital-physician relationship. We also conduct a literature review of the effects of vertical integration on prices, spending, and quality in the growing body of evidence ( n = 15) to evaluate which of these frameworks have the strongest empirical support. We find some support for vertical foreclosure as a framework for explaining the observed results. We suggest a conceptual model and identify directions for future research. Based on our analysis, we conclude that vertical integration poses a threat to the affordability of health services and merits special attention from policymakers and antitrust authorities.

Telling the Holy Sepulchre. “Mises en scène” and textual representations

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Hans-Joachim Schmidt

2016-06-01

Full Text Available During the Middle Ages, places and holy objects were concrete in their materiality and especially in their geographical location. However they could also proliferate in other places, in a real “multiplication of presence”. Indeed, texts and maps informed the reader and the spectator, but also put him in touch with the sphere of the holiness. The idea of the omnipresence of the salvation facilitated a relocation of the poles of worship, which was nevertheless based on material contacts. This contrast between dematerialization and attachment to things maintained a play of opposites between absence and presence. The material or textual reproduction of objects and holy places made sure they became accessible for all those who would not or could not travel to them. This contribution offers an analysis of maps and various stories of medieval authors which make a symbolic approach to the holy places in Jerusalem accessible to many believers.

Dis/Graceful Liberties: Textual Libertinism/ Libertine Texts in J.M. Coetzee’s Disgrace

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Driss Hager Ben

2017-12-01

Full Text Available This essay addresses J.M. Coetzee’s Disgrace, a Booker Prize winner in 1999. The novel captures South African political and cultural turmoil attending the post-apartheid transitional period. Far from overlooking the political allegory, I propose instead to expand on a topic only cursorily developed elsewhere, namely liberty and license. The two terms foreground the textual dynamics of the novel as they compete and/or negotiate meaning and ascendency. I argue that Disgrace is energized by Coetzee’s belief in a total liberty of artistic production. Sex is philosophically problematized in the text and advocated as a serious issue that deserves artistic investigation without restriction or censorship. This essay looks into the subtle libertinism in Coetzee’s text, which displays pornographic overtones without exhibiting a flamboyant libertinage. Disgrace acquires its libertine gesture from its dialogue with several literary works steeped in libertinism. The troubled relationship between the aesthetic and the ethical yields an ambiguous text that invites a responsible act of reading.

Chawton Novels Online, Women’s Writing 1751-1834 and Computer-Aided Textual Analysis

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Anne Bandry-Scubbi

2015-10-01

Full Text Available Using Chawton House Library’s “Novels Online,” several corpora have been set up for a computer-aided textual analysis of the use of vocabulary by women writing “domestic novels” from 1752 to 1834. This corpus stylistics approach makes it possible to map texts according to their word usage and to identify quantitative keywords which provide vocabulary profiles through comparison and contrast with contemporary male and female canonical texts. Items identified include pronouns, markers of dialogue and of intensity; others can be grouped into specific lexical fields such as feelings. One text from the collection then forms the object of a case-study to explore a paradox: although Jane Taylor’s use of vocabulary in her 1817 Rachel appears the most representative of the corpus made up of 42 novels by women, this Chawton text has been called “a highly original tale.” Methodology and findings are both presented to address the challenge of identifying features which constitute typicality.

Location and Unlocation: Examining Gender and Telephony through Autoethnographic Textual and Visual Methods

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Lia Bryant BSW, PhD in Sociology

2013-02-01

Full Text Available Studies on gender and telephony tend to be quantitative and depict the purposes for which women and men use mobile telephones and landlines. Qualitative studies on the topic predominantly rely on face-to-face interviews to examine how telephone use genders space. We suggest these traditional methods of data collection leave unexamined the emotional and social relationships that emerge and are enabled by telephone use, which at times reconfigure and gender social spaces. In this article we present a collaborative autoethnographic inquiry based on our own telephone lives. We introduce a reflexive visual and textual methodological design, specifically diary notes, memory work, and photography, developed from our lives as researcher and researched. We examine an important theme in our findings, the physical placement of the telephone and the phone holder's awareness of the physicality of the telephone, which illustrates the importance of our methodological choices. We show how the placement of the phone by the users both genders space and creates emotional spaces.

Evidence from dynamic integrated proctography to redefine anismus.

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Roberts, J P; Womack, N R; Hallan, R I; Thorpe, A C; Williams, N S

1992-11-01

The role of anismus in the aetiology of defective rectal evacuation was investigated by dynamic integrated proctography in 20 controls and 71 constipated patients. Normal parameters were defined and compared between 21 constipated patients with poor evacuation during proctography ( 90 per cent of contrast evacuated; group 2). Nine patients in group 1 failed to evacuate. Radiological abnormalities of the rectum were recorded in all groups but obstructed evacuation was not observed. Anismus (defined as a recruitment of puborectalis electromyogram (EMG) activity of > 50 per cent) was significantly more common in group 1 than group 2 patients (14 of 21 versus 12 of 50, P 50 cmH2O compared with two in group 2 (P anismus and inability to raise intrarectal pressure, which may combine to cause defective evacuation. EMG recruitment alone is insufficient to diagnose anismus. Definition should be based on three criteria: demonstration of puborectalis EMG recruitment of > 50 per cent; evidence of an adequate level of intrarectal pressure (> 50 cmH2O) on straining; and presence of defective evacuation.

Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence.

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Lorenzetti, Lara M J; Leatherman, Sheila; Flax, Valerie L

2017-06-01

Solutions delivered within firm sectoral boundaries are inadequate in achieving income security and better health for poor populations. Integrated microfinance and health interventions leverage networks of women to promote financial inclusion, build livelihoods, and safeguard against high cost illnesses. Our understanding of the effect of integrated interventions has been limited by variability in intervention, outcome, design, and methodological rigour. This systematic review synthesises the literature through 2015 to understand the effect of integrated microfinance and health programs. We searched PubMed, Scopus, Embase, EconLit, and Global Health databases and sourced bibliographies, identifying 964 articles exclusive of duplicates. Title, abstract, and full text review yielded 35 articles. Articles evaluated the effect of intentionally integrated microfinance and health programs on client outcomes. We rated the quality of evidence for each article. Most interventions combined microfinance with health education, which demonstrated positive effects on health knowledge and behaviours, though not health status. Among programs that integrated microfinance with other health components ( i.e. health micro-insurance, linkages to health providers, and access to health products), results were generally positive but mixed due to the smaller number and quality of studies. Interventions combining multiple health components in a given study demonstrated positive effects, though it was unclear which component was driving the effect. Most articles (57%) were moderate in quality. Integrated microfinance and health education programs were effective, though longer intervention periods are necessary to measure more complex pathways to health status. The effect of microfinance combined with other health components was less clear. Stronger randomized research designs with multiple study arms are required to improve evidence and disentangle the effects of multiple component

A monograph assignment as an integrative application of evidence-based medicine and pharmacoeconomic principles.

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Law, Anandi V; Jackevicius, Cynthia A; Bounthavong, Mark

2011-02-10

To describe the development and assessment of monographs as an assignment to incorporate evidence-based medicine (EBM) and pharmacoeconomic principles into a third-year pharmacoeconomic course. Eight newly FDA-approved drugs were assigned to 16 teams of students, where each drug was assigned to 2 teams. Teams had to research their drug, write a professional monograph, deliver an oral presentation, and answer questions posed by faculty judges. One team was asked to present evidence for inclusion of the drug into a formulary, while another team presented evidence against inclusion. The teams' average score on the written report was 99.1%; on the oral presentation, 92.5%, and on the online quiz given at the end of the presentations, 77%. Monographs are a successful method of incorporating and integrating learning across different concepts, as well as increasing relevance of pharmacoeconomics in the PharmD curriculum.

Collinear facilitation and contour integration in autism: evidence for atypical visual integration.

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Jachim, Stephen; Warren, Paul A; McLoughlin, Niall; Gowen, Emma

2015-01-01

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by impaired social interaction, atypical communication and a restricted repertoire of interests and activities. Altered sensory and perceptual experiences are also common, and a notable perceptual difference between individuals with ASD and controls is their superior performance in visual tasks where it may be beneficial to ignore global context. This superiority may be the result of atypical integrative processing. To explore this claim we investigated visual integration in adults with ASD (diagnosed with Asperger's Syndrome) using two psychophysical tasks thought to rely on integrative processing-collinear facilitation and contour integration. We measured collinear facilitation at different flanker orientation offsets and contour integration for both open and closed contours. Our results indicate that compared to matched controls, ASD participants show (i) reduced collinear facilitation, despite equivalent performance without flankers; and (ii) less benefit from closed contours in contour integration. These results indicate weaker visuospatial integration in adults with ASD and suggest that further studies using these types of paradigms would provide knowledge on how contextual processing is altered in ASD.

Collinear facilitation and contour integration in autism: evidence for atypical visual integration

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Stephen eJachim

2015-03-01

Full Text Available Autism spectrum disorder (ASD is a neurodevelopmental disorder characterized by impaired social interaction, atypical communication and a restricted repertoire of interests and activities. Altered sensory and perceptual experiences are also common, and a notable perceptual difference between individuals with ASD and controls is their superior performance in visual tasks where it may be beneficial to ignore global context. This superiority may be the result of atypical integrative processing. To explore this claim we investigated visual integration in adults with ASD (diagnosed with Asperger’s Syndrome using two psychophysical tasks thought to rely on integrative processing - collinear facilitation and contour integration. We measured collinear facilitation at different flanker orientation offsets and contour integration for both open and closed contours. Our results indicate that compared to matched controls, ASD participants show (i reduced collinear facilitation, despite equivalent performance without flankers and (ii less benefit from closed contours in contour integration. These results indicate weaker visuospatial integration in adults with ASD and suggest that further studies using these types of paradigms would provide knowledge on how contextual processing is altered in ASD.

Utility-preserving privacy protection of textual healthcare documents.

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Sánchez, David; Batet, Montserrat; Viejo, Alexandre

2014-12-01

The adoption of ITs by medical organisations makes possible the compilation of large amounts of healthcare data, which are quite often needed to be released to third parties for research or business purposes. Many of this data are of sensitive nature, because they may include patient-related documents such as electronic healthcare records. In order to protect the privacy of individuals, several legislations on healthcare data management, which state the kind of information that should be protected, have been defined. Traditionally, to meet with current legislations, a manual redaction process is applied to patient-related documents in order to remove or black-out sensitive terms. This process is costly and time-consuming and has the undesired side effect of severely reducing the utility of the released content. Automatic methods available in the literature usually propose ad-hoc solutions that are limited to protect specific types of structured information (e.g. e-mail addresses, social security numbers, etc.); as a result, they are hardly applicable to the sensitive entities stated in current regulations that do not present those structural regularities (e.g. diseases, symptoms, treatments, etc.). To tackle these limitations, in this paper we propose an automatic sanitisation method for textual medical documents (e.g. electronic healthcare records) that is able to protect, regardless of their structure, sensitive entities (e.g. diseases) and also those semantically related terms (e.g. symptoms) that may disclose the former ones. Contrary to redaction schemes based on term removal, our approach improves the utility of the protected output by replacing sensitive terms with appropriate generalisations retrieved from several medical and general-purpose knowledge bases. Experiments conducted on highly sensitive documents and in coherency with current regulations on healthcare data privacy show promising results in terms of the practical privacy and utility of the

The SCIDOTS Project: Evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes

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Syed Sulaiman Syed Azhar

2011-09-01

Full Text Available Abstract Background There is substantial evidence to support the association between tuberculosis (TB and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this. Methods An integrated TB-tobacco intervention was provided by trained TB directly observed therapy short-course (DOTS providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group or conventional TB DOTS alone (comparison or DOTS group. At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate. Results A linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when

Argumentation and Fallacies in Television Interviews: for a Dialogue Between the Toulmin Model and the Textual-Interactive Perspective

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Paulo Roberto Gonçalves Segundo

2016-12-01

Full Text Available Neste artigo, propomos uma articulação entre o modelo Toulmin de argumentação e a perspectiva textual-interativa para a análise de uma entrevista de televisão polêmica concedida pelo então candidato a prefeito de São Paulo, Fernando Haddad (PT, a César Tralli, no programa SPTV, da Rede Globo de Comunicações, em período de campanha eleitoral. A proposta justifica-se na medida em que o modelo Toulmin permite uma formalização esquemática da estrutura argumentativa que viabiliza uma análise crítica do processo, ao passo que a perspectiva textual-interativa possibilita compreender a dinâmica de produção e interpretação locais de sentido no texto conversacional, fornecendo ferramentas explanatórias para a construção do esquema argumentativo, o que envolve a variabilidade na explicitação dos componentes do modelo e na configuração de suas relações recíprocas. Pudemos depreender as tendências de: (1 o entrevistador construir a Alegação sob forma de pergunta, de forma a incitar que a resposta consista em uma Refutação, processo permeado por uma dinâmica de preservação da própria face, da face do entrevistador e do Partido dos Trabalhadores (PT, na qual o entrevistado busca caracterizar o raciocínio do âncora como falacioso; (2 implicitação de Garantias e, especialmente, Apoios; e (3 construção de cadeias complexas de esquemas argumentativos.

Integration of CBIR in radiological routine in accordance with IHE

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Welter, Petra; Deserno, Thomas M.; Fischer, Benedikt; Wein, Berthold B.; Ott, Bastian; Günther, Rolf W.

2009-02-01

Increasing use of digital imaging processing leads to an enormous amount of imaging data. The access to picture archiving and communication systems (PACS), however, is solely textually, leading to sparse retrieval results because of ambiguous or missing image descriptions. Content-based image retrieval (CBIR) systems can improve the clinical diagnostic outcome significantly. However, current CBIR systems are not able to integrate their results with clinical workflow and PACS. Existing communication standards like DICOM and HL7 leave many options for implementation and do not ensure full interoperability. We present a concept of the standardized integration of a CBIR system for the radiology workflow in accordance with the Integrating the Healthcare Enterprise (IHE) framework. This is based on the IHE integration profile 'Post-Processing Workflow' (PPW) defining responsibilities as well as standardized communication and utilizing the DICOM Structured Report (DICOM SR). Because nowadays most of PACS and RIS systems are not yet fully IHE compliant to PPW, we also suggest an intermediate approach with the concepts of the CAD-PACS Toolkit. The integration is independent of the particular PACS and RIS system. Therefore, it supports the widespread application of CBIR in radiological routine. As a result, the approach is exemplarily applied to the Image Retrieval in Medical Applications (IRMA) framework.

Consciência da "estrutura argumentativa" e produção textual

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Regina Pinheiro

Full Text Available A suposição cognitivista de que a consciência de um "esquema argumentativo" oriente as produções textuais dos indivíduos está longe de ser pacífica. Alternativamente, sugere-se que os elementos incluídos num texto seriam determinados pela consciência a respeito de parâmetros da situação de produção textual (finalidade, destinatário, etc.. Partindo-se desta controvérsia, investigou-se em que medida a reflexão sobre a "estrutura argumentativa" exerceria um impacto sobre os elementos que crianças e adultos jovens incorporariam a seus textos. A análise dos resultados mostrou que: ponto de vista e justificativa foram os elementos considerados indispensáveis a uma escrita argumentativa. Antecipação de contra-argumentos foi vista como relevante para a consecução do objetivo persuasivo do texto apenas quando eram rebatidos. A reflexão sobre elementos da "estrutura argumentativa" nem sempre correspondeu à inclusão destes nos textos produzidos. Tal inclusão dependeu primordialmente da avaliação dos elementos que mais contribuiriam para a consecução da finalidade persuasiva do texto - consciência retórica.

International lessons in new methods for grading and integrating cost effectiveness evidence into clinical practice guidelines.

Science.gov (United States)

Antioch, Kathryn M; Drummond, Michael F; Niessen, Louis W; Vondeling, Hindrik

2017-01-01

Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decision making is hampered by objections from professions, paucity of economic evidence or lack of policy commitment. The use of state-of-art economic methodologies will improve this. Economic evidence can be graded by 'checklists' to establish the best evidence for decision making given methodological rigor. New economic evaluation checklists, Multi-Criteria Decision Analyses (MCDA) and other decision criteria enable health economists to impact on decision making world-wide. We analyse the methodologies for integrating economic evidence into CPG agencies globally, including the Agency of Health Research and Quality (AHRQ) in the USA, National Health and Medical Research Council (NHMRC) and Australian political reforms. The Guidelines and Economists Network International (GENI) Board members from Australia, UK, Canada and Denmark presented the findings at the conference of the International Health Economists Association (IHEA) and we report conclusions and developments since. The Consolidated Guidelines for the Reporting of Economic Evaluations (CHEERS) 24 item check list can be used by AHRQ, NHMRC, other CPG and health organisations, in conjunction with the Drummond ten-point check list and a questionnaire that scores that checklist for grading studies, when assessing economic evidence. Cost-effectiveness Analysis (CEA) thresholds, opportunity cost and willingness-to-pay (WTP) are crucial issues for decision rules in CEA generally, including end-of-life therapies. Limitations of inter-rater reliability in checklists can be addressed by including more than one assessor to reach a consensus, especially when impacting on treatment decisions. We identify priority areas to generate

Add-On Complementary Medicine in Cancer Care: Evidence in Literature and Experiences of Integration.

Science.gov (United States)

Rossi, Elio; Di Stefano, Mariella; Firenzuoli, Fabio; Monechi, Maria Valeria; Baccetti, Sonia

2017-01-24

Background : According to the literature an increasing number of cancer patients demand for complementary therapies during their disease. Research has demonstrated that some of these therapies are effective and safe as adjunctive treatments in specific symptoms of these patients. Methods : The aims of the paper are to review the main and recent papers of international literature on the effectiveness of complementary medicine (CM) therapies on side effects of anti-cancer protocols and improvement in the quality of life of oncological patients, and to describe the integration of evidence-based acupuncture, herbal medicine and homeopathy treatments in Public Cancer Network of the region of Tuscany. Results : After the review of literature and the approval of a Regional Resolution, some CM will be introduced in Cancer Departments in Tuscany to additionally treat cancer-related symptoms and side effects of conventional cancer therapy: acupuncture for nausea and post-chemotherapy and post-surgery vomiting, pain, hot flashes of iatrogenic menopause, xerostomia; homeopathy for hot flashes of iatrogenic menopause and the side effects of radiotherapy; herbal medicine for cancer-related fatigue, nausea and vomiting, pain, mucositis, anxiety, and depression. Conclusions : The integration of evidence-based complementary treatments allows for an effective response to the demand coming from cancer patients and combines safety and equity of access in public health systems.

A prescrição da produção textual do aluno: orientação para o trabalho de aluno ou restrição do seu agir?

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Luzia Bueno

2011-07-01

Full Text Available Este artigo visa discutir a importância de se olhar a prescrição da produção textual do aluno para se compreender melhor os textos produzidos na situação acadêmica. Para isso, retomamos os resultados de análise de um documento prescritivo e dos projetos de estágio feitos por estudantes do curso de Letras. Para a análise e reflexão sobre os resultados, adota a perspectiva teórica do Interacionismo Sociodiscursivo e de Ciências do Trabalho – Ergonomia da Atividade e Clínica da Atividade, particularmente, assim como as pesquisas do grupo ALTER-LAEL.Palavras-chave: Prescrição. Produção textual. Trabalho de aluno. Formação de professores. Interacionismo Sociodiscursivo.

Contributions of the textual analysis of speeches for the teaching in the virtual enviroments

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Sueli Cristina Marquesi

2013-12-01

Full Text Available The present paper aims at discussing theoretical aspects of Textual Analysis of Speeches which guide an autonomous learning methodology for university students. Having as a theoretical ground, mainly, the studies developed by Adam (2008, a thematic unit of theoretical content in the area of Exact Sciences will be discussed. Within this unit, explicative and descriptive sequences are constructed in such a way to promote the interaction between the text, presented in a virtual environment, and the student. Consequently, the new content of learning is facilitated. For doing so, activities – presented totally at distance - prepared for engineering students of a Brazilian university will be brought to discussion. The methodology establishes a dialogue between an issue that is central in dealing with learning in virtual environments – the interaction through language – and the role the student has to assume in these environments: a reader/ author who makes meaning and transfers knowledge.

Los viajes y trabajos de Manuel Iradier en África: género e hibridismo textual en el relato de viajes en el siglo XIX

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Llosa Sanz, Álvaro

2005-12-01

Full Text Available The present article analyzes and locates the book of trips of century XIX like a crossroad of the most varied genre. For reaching this purpose, the travel book titled África. Viajes y trabajos de la Asociación Eúskara La Exploradora, written and published in two volumes by Manuel Iradier in 1887, has been chosen. Through this collection of texts the reader discovers —almost encyclopedically— an amazing world which is shown through the mixed use of different textual genres.El presente artículo analiza y sitúa el libro de viajes del siglo XIX como encrucijada de los más variados géneros. Para ello, se ha escogido el texto África. Viajes y trabajos de la Asociación Eúskara La Exploradora, escrito por Manuel Iradier en 1887 y publicado en dos volúmenes. A través de sus textos el lector va descubriendo casi enciclopédicamente un mundo que se le muestra a través del uso variadísimo de diferentes géneros textuales que se entremezclan y conforman el libro de viajes.

International lessons in new methods for grading and integrating cost effectiveness evidence into clinical practice guidelines

DEFF Research Database (Denmark)

Antioch, Kathryn M; Drummond, Michael F; Niessen, Louis W

2017-01-01

Economic evidence is influential in health technology assessment world-wide. Clinical Practice Guidelines (CPG) can enable economists to include economic information on health care provision. Application of economic evidence in CPGs, and its integration into clinical practice and national decisio......-of-life, budget impact, cost-effective ratios, net benefits and disparities in access and outcomes. Priority setting remains essential and trade-off decisions between policy criteria can be based on MCDA, both in evidence based clinical medicine and in health planning....... that scores that checklist for grading studies, when assessing economic evidence. Cost-effectiveness Analysis (CEA) thresholds, opportunity cost and willingness-to-pay (WTP) are crucial issues for decision rules in CEA generally, including end-of-life therapies. Limitations of inter-rater reliability......, logistics, innovation price, price sensitivity, substitutes and complements, WTP, absenteeism and presentism. Supply issues may include economies of scale, efficiency changes, and return on investment. Involved equity and efficiency measures may include cost-of-illness, disease burden, quality...

The Desire for Amputation or Paralyzation: Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID)

NARCIS (Netherlands)

Blom, Rianne M.; van Wingen, Guido A.; van der Wal, Sija J.; Luigjes, Judy; van Dijk, Milenna T.; Scholte, H. Steven; Denys, Damiaan

2016-01-01

Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for

An "Evidence-Based" Professional Development Program for Physics Teachers Focusing on Knowledge Integration

Science.gov (United States)

Berger, Hana

This dissertation is concerned with the design and study of an evidence-based approach to the professional development of high-school physics teachers responding to the need to develop effective continuing professional development programs (CPD) in domains that require genuine changes in teachers' views, knowledge, and practice. The goals of the thesis were to design an evidence-based model for the CPD program, to implement it with teachers, and to study its influence on teachers' knowledge, views, and practice, as well as its impact on students' learning. The program was developed in three consecutive versions: a pilot, first, and second versions. Based on the pilot version (that was not part of this study), we developed the first version of the program in which we studied difficulties in employing the evidence-based and blended-learning approaches. According to our findings, we modified the strategies for enacting these approaches in the second version of the program. The influence of the program on the teachers and students was studied during the enactment of the second version of the program. The model implemented in the second version of the program was characterized by four main design principles: 1. The KI and evidence aspects are acquired simultaneously in an integrated manner. 2. The guidance of the teachers follows the principles of cognitive apprenticeship both in the evidence and the KI aspects. 3. The teachers experience the innovative activities as learners. 4. The program promotes continuity of teachers' learning through a structured "blended learning" approach. The results of our study show that this version of the program achieved its goals; throughout the program the teachers progressed in their knowledge, views, and practice concerning the knowledge integration, and in the evidence and learner-centered aspects. The results also indicated that students improved their knowledge of physics and knowledge integration skills that were developed

Evidence-based dentistry.

Science.gov (United States)

Chambers, David W

2010-01-01

Both panegyric and criticism of evidence-based dentistry tend to be clumsy because the concept is poorly defined. This analysis identifies several contributions to the profession that have been made under the EBD banner. Although the concept of clinicians integrating clinical epidemiology, the wisdom of their practices, and patients' values is powerful, its implementation has been distorted by a too heavy emphasis of computerized searches for research findings that meet the standards of academics. Although EBD advocates enjoy sharing anecdotal accounts of mistakes others have made, faulting others is not proof that one's own position is correct. There is no systematic, high-quality evidence that EBD is effective. The metaphor of a three-legged stool (evidence, experience, values, and integration) is used as an organizing principle. "Best evidence" has become a preoccupation among EBD enthusiasts. That overlong but thinly developed leg of the stool is critiqued from the perspectives of the criteria for evidence, the difference between internal and external validity, the relationship between evidence and decision making, the ambiguous meaning of "best," and the role of reasonable doubt. The strongest leg of the stool is clinical experience. Although bias exists in all observations (including searches for evidence), there are simple procedures that can be employed in practice to increase useful and objective evidence there, and there are dangers in delegating policy regarding allowable treatments to external groups. Patient and practitioner values are the shortest leg of the stool. As they are so little recognized, their integration in EBD is problematic and ethical tensions exist where paternalism privileges science over patient's self-determined best interests. Four potential approaches to integration are suggested, recognizing that there is virtually no literature on how the "seat" of the three-legged stool works or should work. It is likely that most dentists

Add-On Complementary Medicine in Cancer Care: Evidence in Literature and Experiences of Integration

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Elio Rossi

2017-01-01

Full Text Available Background: According to the literature an increasing number of cancer patients demand for complementary therapies during their disease. Research has demonstrated that some of these therapies are effective and safe as adjunctive treatments in specific symptoms of these patients. Methods: The aims of the paper are to review the main and recent papers of international literature on the effectiveness of complementary medicine (CM therapies on side effects of anti-cancer protocols and improvement in the quality of life of oncological patients, and to describe the integration of evidence-based acupuncture, herbal medicine and homeopathy treatments in Public Cancer Network of the region of Tuscany. Results: After the review of literature and the approval of a Regional Resolution, some CM will be introduced in Cancer Departments in Tuscany to additionally treat cancer-related symptoms and side effects of conventional cancer therapy: acupuncture for nausea and post-chemotherapy and post-surgery vomiting, pain, hot flashes of iatrogenic menopause, xerostomia; homeopathy for hot flashes of iatrogenic menopause and the side effects of radiotherapy; herbal medicine for cancer-related fatigue, nausea and vomiting, pain, mucositis, anxiety, and depression. Conclusions: The integration of evidence-based complementary treatments allows for an effective response to the demand coming from cancer patients and combines safety and equity of access in public health systems.

The effectiveness of a clinically integrated e-learning course in evidence-based medicine: A cluster randomised controlled trial

NARCIS (Netherlands)

Kulier, Regina; Coppus, Sjors F. P. J.; Zamora, Javier; Hadley, Julie; Malick, Sadia; Das, Kausik; Weinbrenner, Susanne; Meyerrose, Berrit; Decsi, Tamas; Horvath, Andrea R.; Nagy, Eva; Emparanza, Jose I.; Arvanitis, Theodoros N.; Burls, Amanda; Cabello, Juan B.; Kaczor, Marcin; Zanrei, Gianni; Pierer, Karen; Stawiarz, Katarzyna; Kunz, Regina; Mol, Ben W. J.; Khan, Khalid S.

2009-01-01

ABSTRACT: BACKGROUND: To evaluate the educational effects of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM) among postgraduates compared to a traditional lecture-based course of equivalent content. METHODS: We conducted a cluster randomised controlled

Electrophysiological evidence for speech-specific audiovisual integration

NARCIS (Netherlands)

Baart, M.; Stekelenburg, J.J.; Vroomen, J.

2014-01-01

Lip-read speech is integrated with heard speech at various neural levels. Here, we investigated the extent to which lip-read induced modulations of the auditory N1 and P2 (measured with EEG) are indicative of speech-specific audiovisual integration, and we explored to what extent the ERPs were

"Keeping on track"-Hospital nurses' struggles with maintaining workflow while seeking to integrate evidence-based practice into their daily work: A grounded theory study.

Science.gov (United States)

Renolen, Åste; Høye, Sevald; Hjälmhult, Esther; Danbolt, Lars Johan; Kirkevold, Marit

2018-01-01

Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these practices have not been sufficiently incorporated into nursing practice. Thus, additional research regarding the challenges clinical nurses face when integrating evidence-based practice into their daily work and the manner in which these challenges are approached is needed. The aim of this study was to generate a theory about the general patterns of behaviour that are discovered when clinical nurses attempt to integrate evidence-based practice into their daily work. We used Glaser's classical grounded theory methodology to generate a substantive theory. The study was conducted in two different medical wards in a large Norwegian hospital. In one ward, nurses and nursing assistants were developing and implementing new evidence-based procedures, and in the other ward, evidence-based huddle boards for risk assessment were being implemented. A total of 54 registered nurses and 9 assistant nurses were observed during their patient care and daily activities. Of these individuals, thirteen registered nurses and five assistant nurses participated in focus groups. These participants were selected through theoretical sampling. Data were collected during 90h of observation and 4 focus groups conducted from 2014 to 2015. Each focus group session included four to five participants and lasted between 55 and 65min. Data collection and analysis were performed concurrently, and the data were analysed using the constant comparative method. "Keeping on track" emerged as an explanatory theory for the processes through which the nurses handled their main concern: the risk of losing the workflow. The following three strategies were used by nurses when attempting to integrate evidence

Preparing for opening night: temporal boundary objects in textually-mediated professional practice

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Elisabeth Davies

2004-01-01

Full Text Available The authors report on two projects in which the role of documents as temporal boundary objects mediating information practices across multiple timelines was explored. It has been suggested that studying workplace documents will uncover the information practices of professionals beyond traditional information needs and uses studies. Two workplaces were studied: a professional theatre production and a midwifery clinic. Both settings are communities constructed partly through textual dynamics and both have a pre-production phase leading to an opening night. In the theatre setting, qualitative interviews with the cast and crew and document analysis of the prompt book were the means of data collection. The midwifery clinic setting was investigated by means of interviews and follow-ups with sixteen midwife-client pairs and document analysis of the antenatal record. Preliminary thematic analysis pertaining to time and information was conducted on interview transcripts and the relevant documents. It was possible to show several instances of both the prompt book and the antenatal record being treated as a timeline by the various professionals using them. The authors conclude with a discussion of the temporal aspects of professionals' information practices as revealed by these two projects and encourage further document-focused research.

N. S. LESKOV’S NOTEBOOK WITH EXTRACTS FROM “PROLOGUE” (THE EXPERIENCE OF TEXTUAL COMMENTS

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Inna N. Mineeva

2016-03-01

Full Text Available Thе article, for the fi rst time, provides a detailed textual commentary on N. S. Leskov’s notebook with extracts from “Prologue”. The extant literary materials include extracts and abstracts from the early printed Prologue, fi ction and historical literature of the 19th century, letters of European and Russian scholars and authors (Pushkin A., Tolstoy L., Pigault-Lebrun, Sher I., devoted to  doctrine matters and religious aspects, description and analysis of anthropologic categories. The autograph is the evidence of spiritual search and creative experiments of  the writer. In  the books the  writer found endorsement of both his own ideas, and those ones that require further inner understanding, questioning and emotional upheaval. Meanwhile, studying the history, structure and contents of  Prologue in  the 1880s, Leskov found an  exceptional existential and creative experience. The most part of  the notebook shows the writer’s learning process of various examples of repentance, atonement, a sudden rebirth of a sinner, active love, the benefi ts of obedience, the miracle of movement of a saint in space, the phenomenon of manifestation of  supernatural power and its intervention in  life of  a  man (God, the Holy Spirit, Angels, etc. While working with Prologue texts Leskov enunciated some principles of  their artistic processing  (quoting “crisis”, “turning”, unusual fragments in  the Church Slavonic language, emphasizing key situations by changing the name, specifying the narration, acronyms, graphic intonation. General trends in  understanding of  the  Prologue source (ideological, imaginative, plot-compositional, stylistic, identifi ed in the notebook, are subsequently transformed by the author in a series of “Byzantine Legends” where they receive additional semantic and functional load.

Semantic Health Knowledge Graph: Semantic Integration of Heterogeneous Medical Knowledge and Services

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Longxiang Shi

2017-01-01

Full Text Available With the explosion of healthcare information, there has been a tremendous amount of heterogeneous textual medical knowledge (TMK, which plays an essential role in healthcare information systems. Existing works for integrating and utilizing the TMK mainly focus on straightforward connections establishment and pay less attention to make computers interpret and retrieve knowledge correctly and quickly. In this paper, we explore a novel model to organize and integrate the TMK into conceptual graphs. We then employ a framework to automatically retrieve knowledge in knowledge graphs with a high precision. In order to perform reasonable inference on knowledge graphs, we propose a contextual inference pruning algorithm to achieve efficient chain inference. Our algorithm achieves a better inference result with precision and recall of 92% and 96%, respectively, which can avoid most of the meaningless inferences. In addition, we implement two prototypes and provide services, and the results show our approach is practical and effective.

The Visuality, Embodiment and Gender Performance of Korean Pop: A Study on the Production, Consumption and Appropriation of the MVs of “Girls’ Generation”

OpenAIRE

Ming-Tsung Lee

2015-01-01

This paper tries to resolve the puzzle firstly: how can Korean pop (K-Pop) become transbordering since Korean is not the main language in the world? It can be attributed to the policy input and capital integration, the textual circulation through emerging audio-video platform on-line, as well as the specific textual form with intensive visuality and embodiment. This paper applies not only traditionally visual-textual analysis but also the new methodology called “following the object” by the B...

Suppressed visual looming stimuli are not integrated with auditory looming signals: Evidence from continuous flash suppression.

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Moors, Pieter; Huygelier, Hanne; Wagemans, Johan; de-Wit, Lee; van Ee, Raymond

2015-01-01

Previous studies using binocular rivalry have shown that signals in a modality other than the visual can bias dominance durations depending on their congruency with the rivaling stimuli. More recently, studies using continuous flash suppression (CFS) have reported that multisensory integration influences how long visual stimuli remain suppressed. In this study, using CFS, we examined whether the contrast thresholds for detecting visual looming stimuli are influenced by a congruent auditory stimulus. In Experiment 1, we show that a looming visual stimulus can result in lower detection thresholds compared to a static concentric grating, but that auditory tone pips congruent with the looming stimulus did not lower suppression thresholds any further. In Experiments 2, 3, and 4, we again observed no advantage for congruent multisensory stimuli. These results add to our understanding of the conditions under which multisensory integration is possible, and suggest that certain forms of multisensory integration are not evident when the visual stimulus is suppressed from awareness using CFS.

A quantitative approach for integrating multiple lines of evidence for the evaluation of environmental health risks

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Jerome J. Schleier III

2015-01-01

Full Text Available Decision analysis often considers multiple lines of evidence during the decision making process. Researchers and government agencies have advocated for quantitative weight-of-evidence approaches in which multiple lines of evidence can be considered when estimating risk. Therefore, we utilized Bayesian Markov Chain Monte Carlo to integrate several human-health risk assessment, biomonitoring, and epidemiology studies that have been conducted for two common insecticides (malathion and permethrin used for adult mosquito management to generate an overall estimate of risk quotient (RQ. The utility of the Bayesian inference for risk management is that the estimated risk represents a probability distribution from which the probability of exceeding a threshold can be estimated. The mean RQs after all studies were incorporated were 0.4386, with a variance of 0.0163 for malathion and 0.3281 with a variance of 0.0083 for permethrin. After taking into account all of the evidence available on the risks of ULV insecticides, the probability that malathion or permethrin would exceed a level of concern was less than 0.0001. Bayesian estimates can substantially improve decisions by allowing decision makers to estimate the probability that a risk will exceed a level of concern by considering seemingly disparate lines of evidence.

Medical knowledge packages and their integration into health-care information systems and the World Wide Web.

Science.gov (United States)

Adlassnig, Klaus-Peter; Rappelsberger, Andrea

2008-01-01

Software-based medical knowledge packages (MKPs) are packages of highly structured medical knowledge that can be integrated into various health-care information systems or the World Wide Web. They have been established to provide different forms of clinical decision support such as textual interpretation of combinations of laboratory rest results, generating diagnostic hypotheses as well as confirmed and excluded diagnoses to support differential diagnosis in internal medicine, or for early identification and automatic monitoring of hospital-acquired infections. Technically, an MKP may consist of a number of inter-connected Arden Medical Logic Modules. Several MKPs have been integrated thus far into hospital, laboratory, and departmental information systems. This has resulted in useful and widely accepted software-based clinical decision support for the benefit of the patient, the physician, and the organization funding the health care system.

Biomedical text mining for research rigor and integrity: tasks, challenges, directions.

Science.gov (United States)

Kilicoglu, Halil

2017-06-13

An estimated quarter of a trillion US dollars is invested in the biomedical research enterprise annually. There is growing alarm that a significant portion of this investment is wasted because of problems in reproducibility of research findings and in the rigor and integrity of research conduct and reporting. Recent years have seen a flurry of activities focusing on standardization and guideline development to enhance the reproducibility and rigor of biomedical research. Research activity is primarily communicated via textual artifacts, ranging from grant applications to journal publications. These artifacts can be both the source and the manifestation of practices leading to research waste. For example, an article may describe a poorly designed experiment, or the authors may reach conclusions not supported by the evidence presented. In this article, we pose the question of whether biomedical text mining techniques can assist the stakeholders in the biomedical research enterprise in doing their part toward enhancing research integrity and rigor. In particular, we identify four key areas in which text mining techniques can make a significant contribution: plagiarism/fraud detection, ensuring adherence to reporting guidelines, managing information overload and accurate citation/enhanced bibliometrics. We review the existing methods and tools for specific tasks, if they exist, or discuss relevant research that can provide guidance for future work. With the exponential increase in biomedical research output and the ability of text mining approaches to perform automatic tasks at large scale, we propose that such approaches can support tools that promote responsible research practices, providing significant benefits for the biomedical research enterprise. Published by Oxford University Press 2017. This work is written by a US Government employee and is in the public domain in the US.

Innovative use of the integrative review to evaluate evidence of technology transformation in healthcare.

Science.gov (United States)

Phillips, Andrew B; Merrill, Jacqueline A

2015-12-01

Healthcare is in a period significant transformational activity through the accelerated adoption of healthcare technologies, new reimbursement systems that emphasize shared savings and care coordination, and the common place use of mobile technologies by patients, providers, and others. The complexity of healthcare creates barriers to transformational activity and has the potential to inhibit the desired paths toward change envisioned by policymakers. Methods for understanding how change is occurring within this complex environment are important to the evaluation of delivery system reform and the role of technology in healthcare transformation. This study examines the use on an integrative review methodology to evaluate the healthcare literature for evidence of technology transformation in healthcare. The methodology integrates the evaluation of a broad set of literature with an established evaluative framework to develop a more complete understanding of a particular topic. We applied this methodology and the framework of punctuated equilibrium (PEq) to the analysis of the healthcare literature from 2004 to 2012 for evidence of technology transformation, a time during which technology was at the forefront of healthcare policy. The analysis demonstrated that the established PEq framework applied to the literature showed considerable potential for evaluating the progress of policies that encourage healthcare transformation. Significant inhibitors to change were identified through the integrative review and categorized into ten themes that describe the resistant structure of healthcare delivery: variations in the environment; market complexity; regulations; flawed risks and rewards; change theories; barriers; ethical considerations; competition and sustainability; environmental elements, and internal elements. We hypothesize that the resistant nature of the healthcare system described by this study creates barriers to the direct consumer involvement and engagement

Discerning applicants’ interests in rural medicine: a textual analysis of admission essays

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Carol L. Elam

2015-03-01

Full Text Available Background: Despite efforts to construct targeted medical school admission processes using applicant-level correlates of future practice location, accurately gauging applicants’ interests in rural medicine remains an imperfect science. This study explores the usefulness of textual analysis to identify rural-oriented themes and values underlying applicants’ open-ended responses to admission essays. Methods: The study population consisted of 75 applicants to the Rural Physician Leadership Program (RPLP at the University of Kentucky College of Medicine. Using WordStat, a proprietary text analysis program, applicants’ American Medical College Application Service personal statement and an admission essay written at the time of interview were searched for predefined keywords and phrases reflecting rural medical values. From these text searches, derived scores were then examined relative to interviewers’ subjective ratings of applicants’ overall acceptability for admission to the RPLP program and likelihood of practicing in a rural area. Results: The two interviewer-assigned ratings of likelihood of rural practice and overall acceptability were significantly related. A statistically significant relationship was also found between the rural medical values scores and estimated likelihood of rural practice. However, there was no association between rural medical values scores and subjective ratings of applicant acceptability. Conclusions: That applicants’ rural values in admission essays were not related to interviewers’ overall acceptability ratings indicates that other factors played a role in the interviewers’ assessments of applicants’ acceptability for admission.

Discerning applicants' interests in rural medicine: a textual analysis of admission essays.

Science.gov (United States)

Elam, Carol L; Weaver, Anthony D; Whittler, Elmer T; Stratton, Terry D; Asher, Linda M; Scott, Kimberly L; Wilson, Emery A

2015-01-01

Despite efforts to construct targeted medical school admission processes using applicant-level correlates of future practice location, accurately gauging applicants' interests in rural medicine remains an imperfect science. This study explores the usefulness of textual analysis to identify rural-oriented themes and values underlying applicants' open-ended responses to admission essays. The study population consisted of 75 applicants to the Rural Physician Leadership Program (RPLP) at the University of Kentucky College of Medicine. Using WordStat, a proprietary text analysis program, applicants' American Medical College Application Service personal statement and an admission essay written at the time of interview were searched for predefined keywords and phrases reflecting rural medical values. From these text searches, derived scores were then examined relative to interviewers' subjective ratings of applicants' overall acceptability for admission to the RPLP program and likelihood of practicing in a rural area. The two interviewer-assigned ratings of likelihood of rural practice and overall acceptability were significantly related. A statistically significant relationship was also found between the rural medical values scores and estimated likelihood of rural practice. However, there was no association between rural medical values scores and subjective ratings of applicant acceptability. That applicants' rural values in admission essays were not related to interviewers' overall acceptability ratings indicates that other factors played a role in the interviewers' assessments of applicants' acceptability for admission.

Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

Directory of Open Access Journals (Sweden)

Michael J. Stewart

2013-02-01

Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt. Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis. Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

Successfully integrating aged care services: A review of the evidence and tools emerging from a long-term care program

Directory of Open Access Journals (Sweden)

Michael J. Stewart

2013-02-01

Full Text Available Background: Providing efficient and effective aged care services is one of the greatest public policy concerns currently facing governments. Increasing the integration of care services has the potential to provide many benefits including increased access, promoting greater efficiency, and improving care outcomes. There is little research, however, investigating how integrated aged care can be successfully achieved. The PRISMA (Program of Research to Integrate Services for the Maintenance of Autonomy project, from Quebec, Canada, is one of the most systematic and sustained bodies of research investigating the translation and outcomes of an integrated care policy into practice.  The PRISMA research program has run since 1988, yet there has been no independent systematic review of this work to draw out the lessons learnt.Methods: Narrative review of all literature emanating from the PRISMA project between 1988 and 2012. Researchers accessed an online list of all published papers from the program website. The reference lists of papers were hand searched to identify additional literature. Finally, Medline, Pubmed, EMBASE and Google Scholar indexing databases were searched using key terms and author names. Results were extracted into specially designed spread sheets for analysis.Results: 45 journal articles and two books authored or co-authored by the PRISMA team were identified. Research was primarily concerned with: the design, development and validation of screening and assessment tools; and results generated from their application. Both quasi-experimental and cross sectional analytic designs were used extensively. Contextually appropriate expert opinion was obtained using variations on the Delphi Method. Literature analysis revealed the structures, processes and outcomes which underpinned the implementation. PRISMA provides evidence that integrating care for older persons is beneficial to individuals through reducing incidence of functional

[Herbal textual research on relationship between Chinese medicine"Shihu" (Dendrobium spp.) and "Tiepi Shihu" (D. catenatum)].

Science.gov (United States)

Si, Jin-Ping; Zhang, Yuan; Luo, Yi-Bo; Liu, Jing-Jing; Liu, Zhong-Jian

2017-05-01

Dendrobium species on the ancient Chinese herbal texts were investigated in this paper, including their dscriptions of original species, producing areas and quality. Our results indicated that the major producing areas were Lu'an, Anhui province and Wenzhou, Taizhou, Zhejiang province. In addition, the sweet flavor, short, thin and solid stems were standing for good quality. Based on the stable producing areas and quality descriptions, D. catenatum (D. officinale) ("Tiepi Shihu") and D. houshanense were high quality medicinal Dendrobium species ("Shihu" ) in ancient China. Besides, there were 3 scientific names for "Tiepi Shihu", including D. candidum, D. officinale, D. catenatum. After textual investigation, We suggest that D. catenatum should be its scientific name, and D. officinale was synonyms published later. However, the name "D. officinale" could be reserved as it is much more popular used in publication and commodities. Moreover, its Chinese name should be "Tiepi Shihu". Copyright© by the Chinese Pharmaceutical Association.

Integrating Non-Spatial Preferences into Spatial Location Queries

DEFF Research Database (Denmark)

Qu, Qiang; Liu, Siyuan; Yang, Bin

2014-01-01

Increasing volumes of geo-referenced data are becoming available. This data includes so-called points of interest that describe businesses, tourist attractions, etc. by means of a geo-location and properties such as a textual description or ratings. We propose and study the efficient implementation...... of a new kind of query on points of interest that takes into account both the locations and properties of the points of interest. The query takes a result cardinality, a spatial range, and property-related preferences as parameters, and it returns a compact set of points of interest with the given...... cardinality and in the given range that satisfies the preferences. Specifically, the points of interest in the result set cover so-called allying preferences and are located far from points of interest that possess so-called alienating preferences. A unified result rating function integrates the two kinds...

The SCIDOTS Project: evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes.

Science.gov (United States)

Awaisu, Ahmed; Nik Mohamed, Mohamad Haniki; Mohamad Noordin, Noorliza; Abd Aziz, Noorizan; Syed Sulaiman, Syed Azhar; Muttalif, Abdul Razak; Ahmad Mahayiddin, Aziah

2011-09-23

There is substantial evidence to support the association between tuberculosis (TB) and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this. An integrated TB-tobacco intervention was provided by trained TB directly observed therapy short-course (DOTS) providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group) or conventional TB DOTS alone (comparison or DOTS group). At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate. A linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when compared with those who received the conventional TB

The Integration of Cognitive Remediation Therapy into the Whole Psychosocial Rehabilitation Process: An Evidence-Based and Person-Centered Approach

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Rafael Penadés

2012-01-01

Full Text Available Cognitive remediation therapies seem to ameliorate cognitive impairments in patients with schizophrenia. Interestingly, some improvement in daily functioning can also be expected as a result. However, to achieve these results it is necessary that cognitive remediation is carried out in the context of broader psychosocial rehabilitation involving the learning of other communication, social, and self-control skills. Unfortunately, little is known about how to integrate these different rehabilitation tools in broader rehabilitation programs. Based on both the neurocognitive behavioral approach and the action theory framework, a hierarchical flowchart is represented in this paper to integrate CRT with other evidence-based psychological therapies in outpatient settings. Finally, some evidence is provided in which cognitive abilities need to be targeted in remediation programs to improve functioning. In summary, to improve daily functioning, according to these studies, cognitive remediation needs to include the teaching of some cognitive strategies that target executive skills.

Integrating nutrition and child development interventions: scientific basis, evidence of impact, and implementation considerations.

Science.gov (United States)

Black, Maureen M; Pérez-Escamilla, Rafael; Rao, Sylvia Fernandez

2015-11-01

The Millennium Development Goals (MDGs) have contributed to unprecedented reductions in poverty and improvement in the lives of millions of men, women, and children in low- and middle-income countries. Yet, hundreds of millions of children under 5 y of age are not reaching their developmental potential. This article reviews the scientific basis for early childhood nutrition and child development interventions, the impact of integrated interventions on children's linear growth and cognitive development, and implementation strategies for integrated nutrition and child development programs. Advances in brain science have documented that the origins of adult health and well-being are grounded in early childhood, from conception through age 24 mo (first 1000 d) and extending to age 5 y (second 1000 d). Young children with adequate nutrition, nurturant caregiving, and opportunities for early learning have the best chances of thriving. Evidence from adoption, experimental, and quasi-experimental studies has shown that stunting prevention is sensitive during the first 1000 d, and sensitivity to child development interventions extends through the second 1000 d. Cognitive development responds to interventions post–1000 d with effect sizes that are inversely associated with initial age and length of program exposure. Integrated interventions need governance structures that support integrated policies and programming, with attention to training, supervision, and monitoring. The MDGs have been replaced by the Sustainable Development Goals (SDGs), with targets for the next 15 y. Achievement of the SDGs depends on children receiving adequate nutrition, nurturant caregiving, and learning opportunities from conception through age 5.

The language of racism. Textual testimonies of Jewish-Arab hostility in the Israeli Academia

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Tamar Heger

2015-02-01

Full Text Available The persistent Jewish Arab conflict is present in every aspect of life in Israeli society and its echoes penetrate the everyday reality of higher educational institutions. Feelings of mutual hostility among Arab and Jewish students, faculty and administration are common experiences on Israeli campuses. This article analyzes two textual expressions of this mutual resentment which were circulated in 2011 in Tel Hai College, Israel. One of the texts was produced by Muslim Arab student association and the other by a Zionist Jewish organization. Both groups are present on every campus in Israel. Despite the significant difference of the political location occupied by each organization in the Israeli power structure, we argue that these texts share similar attitudes to the conflict and parallel operational strategies. The paper demonstrates the attempts by these texts to encourage the mutual hostility between Jews and Arabs by employing racist and violent discourse. The article tries to explain the silence of the college administration and faculty in the face of these racist acts, subsequently outlining a vision of a responsible academia which will banish any acts of racism.

Estratégias de leitura e compreensão textual em universitários

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Lucicleide Maria de Cantalice

Full Text Available O objetivo deste estudo foi explorar a compreensão textual em universitários e o uso das estratégias metacognitivas de leitura, considerando a faixa etária dos mesmos. Cento e dez universitários (110 do curso de psicologia de uma universidade privada paulista participaram da investigação. Foram utilizados uma escala de estratégias metacognitivas de leitura e um texto de 250 vocábulos preparado segundo a técnica de Cloze em sua versão tradicional, cuja característica é a omissão de todos os quintos vocábulos do texto. A aplicação foi coletiva naqueles estudantes que consentiram participar. Os dados foram submetidos à estatística inferencial e evidenciaram relação estatisticamente significativa entre a pontuação na escala de estratégias metacognitivas de leitura e os escores do Cloze. Foi possível também evidenciar diferenças na pontuação na compreensão em leitura dos estudantes, considerando a faixa etária dos mesmos.

The third language: A recurrent textual restriction that translators come across in audiovisual translation.

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Montse Corrius Gimbert

2005-01-01

Full Text Available If the process of translating is not at all simple, the process of translating an audiovisual text is still more complex. Apart rom technical problems such as lip synchronisation, there are other factors to be considered such as the use of the language and textual structures deemed appropriate to the channel of communication. Bearing in mind that most of the films we are continually seeing on our screens were and are produced in the United States, there is an increasing need to translate them into the different languages of the world. But sometimes the source audiovisual text contains more than one language, and, thus, a new problem arises: the ranslators face additional difficulties in translating this “third language” (language or dialect into the corresponding target culture. There are many films containing two languages in the original version but in this paper we will focus mainly on three films: Butch Cassidy and the Sundance Kid (1969, Raid on Rommel (1999 and Blade Runner (1982. This paper aims at briefly illustrating different solutions which may be applied when we come across a “third language”.

Analysis of Brazilian publications on distance education in nursing: integrative review.

Science.gov (United States)

Tavares, Ana Paula Cardoso; Leite, Bruna Silva; Silveira, Isabelle Andrade; Santos, Thayane Dias Dos; Brito, Willian de Andrade Pereira de; Camacho, Alessandra Conceição Leite Funchal

2018-01-01

To analyze the publications that focus on distance education in nursing in Brazil from 2010 to 2016. Integrative review of the literature with data collection in June 2016 in the following databases: LILACS, MEDLINE via PUBMED, CINAHL and SCOPUS. For the data analysis and interpretation, the thematic categorization was chosen. We selected 18 articles for discussion, whose textual analysis permitted the construction of three thematic categories: use of virtual technologies for distance education in nursing; construction of virtual learning environments with the aid of virtual technologies for distance education in nursing; and evaluation of the learning process through virtual technologies for distance education of nurses. Distance Education stands out as an effective teaching-learning strategy in this type of education in Brazilian nursing, focused mainly on the improvement and complement of traditional teaching.

Artworks narrating a story: a modular framework for the integrated presentation of three-dimensional and textual contents

OpenAIRE

Callieri, Marco; Leoni, Chiara; Dellepiane, Matteo; Scopigno, Roberto

2013-01-01

The integrated presentation of a 3D model and a descriptive text which is strongly connected to the geometry (and, more in general, of multiple interconnected datasets of different nature) is still problematic. This is often solved by using plugins and/or resulting in poorly connected exploration tree (where one media is used as a "primary content", and the rest of the data are just used to enrich it). In this paper, we present a framework for the presentation, on the web platform, of multipl...

On the integration of financial markets: How strong is the evidence from five international stock markets?

Science.gov (United States)

Bentes, Sónia R.

2015-07-01

This paper examines the integration of financial markets using data from five international stock markets in the context of globalization. The theoretical basis of this study relies on the price theory and the Law of One Price, which was adjusted to the framework of financial markets. When price levels are nonstationary, cointegration and the error correction model constitute a powerful tool for the empirical examination of market integration. The error correction model provides a fully dynamic framework that allows to separating the long and the short run effects of the integration process. A dataset encompassing the daily stock price series of the PSI 20 (Portugal), IBEX 35 (Spain), FTSE 100 (UK), NIKKEI 225 (Japan) and SP 500 (US) indices from January 4th 1999 to September 19th 2014 is employed. The results highlight that these five stock markets are linked together by just one long-run relationship, although short-run movements are also present, which causes distinct deviations from the long-run equilibrium relationship. Endogeneity prevails in the system as a whole. While market integration in the sense of the Law of One Price holds, pairwise full price transmission has limited evidence. The results therefore show that stock market price movements are highly nonlinear and complex.

Compreensão textual em alunos de segunda e terceira séries: uma abordagem cognitiva Text comprehension in second and third graders: a cognitive approach

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Jerusa Fumagalli de Salles

2004-04-01

Full Text Available Este estudo teve como objetivo analisar a compreensão de leitura textual de alunos de 2ª e 3ª séries. Participaram 76 crianças, com média de idade de 8,1 anos. Cada criança lia a história, recontava-a e, posteriormente, respondia a questões. Os recontos foram analisados segundo o Modelo de Compreensão Textual de Kintsch & van Dijk (1978 e Kintsch (1988, 1998. A amostra relatou, em média, 21,07% da estrutura proposicional da história, sendo mais freqüente o relato de macroproposições. Alunos da terceira série foram superiores aos da segunda série no relato de microproposições menos relevantes do texto e em responder a questões pontuais sobre a história. Foi encontrada uma correlação significativa entre idade e o reconto da macroestrutura textual. Os resultados sugerem que durante os primeiros anos de escolarização ocorreu uma melhora da memorização de detalhes, enquanto que a retenção das idéias essenciais foi influenciada pelas variações de idade das crianças.This study aimed to analyze text comprehension of students of the 2nd and 3rd grades. The sample was constituted by 76 children, at an average of 8.1 years old. Each child read the story, retold it and, afterwards, answered questions about it. The retellings were analyzed according to the model of Text Comprehension of Kintsch and van Dijk (1978 and Kintsch (1988, 1998. The sample recalled a mean of 21.07% of the proposition structure of the story, being the report of macropropositions more frequent. Students of the third grade told larger percentage of irrelevant micropropositions of the text and they were superior in answering to specific questions than students of the second grade. A significant correlation was found between age and macroproposition's retelling. The results suggest that during the first years of schooling there is an improvement of the detail-remembering, whereas the retention of the essential ideas is influenced by age differences.

Electrophysiological evidence for speech-specific audiovisual integration.

Science.gov (United States)

Baart, Martijn; Stekelenburg, Jeroen J; Vroomen, Jean

2014-01-01

Lip-read speech is integrated with heard speech at various neural levels. Here, we investigated the extent to which lip-read induced modulations of the auditory N1 and P2 (measured with EEG) are indicative of speech-specific audiovisual integration, and we explored to what extent the ERPs were modulated by phonetic audiovisual congruency. In order to disentangle speech-specific (phonetic) integration from non-speech integration, we used Sine-Wave Speech (SWS) that was perceived as speech by half of the participants (they were in speech-mode), while the other half was in non-speech mode. Results showed that the N1 obtained with audiovisual stimuli peaked earlier than the N1 evoked by auditory-only stimuli. This lip-read induced speeding up of the N1 occurred for listeners in speech and non-speech mode. In contrast, if listeners were in speech-mode, lip-read speech also modulated the auditory P2, but not if listeners were in non-speech mode, thus revealing speech-specific audiovisual binding. Comparing ERPs for phonetically congruent audiovisual stimuli with ERPs for incongruent stimuli revealed an effect of phonetic stimulus congruency that started at ~200 ms after (in)congruence became apparent. Critically, akin to the P2 suppression, congruency effects were only observed if listeners were in speech mode, and not if they were in non-speech mode. Using identical stimuli, we thus confirm that audiovisual binding involves (partially) different neural mechanisms for sound processing in speech and non-speech mode. © 2013 Published by Elsevier Ltd.

Integration of evidence-based and experience-based design: contributions from a study in a health care service

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Mirela S. da Rosa

2015-06-01

Full Text Available The purpose this paper is to present an integrated study of Service Design and the Mechanism of the Production Function (MPF for redesigning the health care services to improve the perceived value of the patient and increase the productivity of hospital operations by eliminating wastes. The method used was action research and applied in an ICU of a private hospital in southern Brazil. The techniques of participant observation, interviews, archival research and meetings co-creation with a team of the hospital were used to collect data. Data were analyzed through content analysis of the interviews and the Design Service and Production Engineering tools. Evidence based approaches tends to contribute to the replication of the project outcomes in future cases. The MPF can support project development in the field of Design, as well the integrated approach developed in the healthcare sector, helped to devote more time to the phases of diagnosis and implementation. The findings are useful to demonstrate that can use simultaneously approaches the Service Design and MPF for the development of more robust solutions in health care environment. Further research could be done in other private or public hospitals as well as in other hospital units besides the ICUs. Limitations include the work done in a single hospital and service unit, data collected from a small group of people in the hospital. Integrating Evidence-Based Design, Experience-Based Design and the MPF can produce a more robust way to justify and define the focus of improvements in health care services.

Three-tiered integration of PACS and HIS toward next generation total hospital information system.

Science.gov (United States)

Kim, J H; Lee, D H; Choi, J W; Cho, H I; Kang, H S; Yeon, K M; Han, M C

1998-01-01

The Seoul National University Hospital (SNUH) started a project to innovate the hospital information facilities. This project includes installation of high speed hospital network, development of new HIS, OCS (order communication system), RIS and PACS. This project aims at the implementation of the first total hospital information system by seamlessly integrating these systems together. To achieve this goal, we took three-tiered systems integration approach: network level, database level, and workstation level integration. There are 3 loops of networks in SNUH: proprietary star network for host computer based HIS, Ethernet based hospital LAN for OCS and RIS, and ATM based network for PACS. They are linked together at the backbone level to allow high speed communication between these systems. We have developed special communication modules for each system that allow data interchange between different databases and computer platforms. We have also developed an integrated workstation in which both the OCS and PACS application programs run on a single computer in an integrated manner allowing the clinical users to access and display radiological images as well as textual clinical information within a single user environment. A study is in progress toward a total hospital information system in SNUH by seamlessly integrating the main hospital information resources such as HIS, OCS, and PACS. With the three-tiered systems integration approach, we could successfully integrate the systems from the network level to the user application level.

Developing an integrated evidence-based medicine curriculum for family medicine residency at the University of Alberta.

Science.gov (United States)

Allan, G Michael; Korownyk, Christina; Tan, Amy; Hindle, Hugh; Kung, Lina; Manca, Donna

2008-06-01

There is general consensus in the academic community that evidence-based medicine (EBM) teaching is essential. Unfortunately, many postgraduate programs have significant weakness in their EBM programs. The Family Medicine Residency committee at the University of Alberta felt their EBM curriculum would benefit from critical review and revision. An EBM Curriculum Committee was created to evaluate previous components and develop new strategies as needed. Input from stakeholders including faculty and residents was sought, and evidence regarding the teaching and practical application of EBM was gathered. The committee drafted goals and objectives, the primary of which were to assist residents to (1) become competent self-directed, lifelong learners with skills to effectively and efficiently keep up to date, and 2) develop EBM skills to solve problems encountered in daily practice. New curriculum components, each evidence based, were introduced in 2005 and include a family medicine EBM workshop to establish basic EBM knowledge; a Web-based Family Medicine Desktop promoting easier access to evidence-based Internet resources; a brief evidence-based assessment of the research project enhancing integration of EBM into daily practice; and a journal club to support peer learning and growth of rapid appraisal skills. Issues including time use, costs, and change management are discussed. Ongoing evaluation of the curriculum and its components is a principal factor of the design, allowing critical review and adaptation of the curriculum. The first two years of the curriculum have yielded positive feedback from faculty and statistically significant improvement in multiple areas of residents' opinions of the curriculum and comfort with evidence-based practice.

The potential of text mining in data integration and network biology for plant research: a case study on Arabidopsis.

Science.gov (United States)

Van Landeghem, Sofie; De Bodt, Stefanie; Drebert, Zuzanna J; Inzé, Dirk; Van de Peer, Yves

2013-03-01

Despite the availability of various data repositories for plant research, a wealth of information currently remains hidden within the biomolecular literature. Text mining provides the necessary means to retrieve these data through automated processing of texts. However, only recently has advanced text mining methodology been implemented with sufficient computational power to process texts at a large scale. In this study, we assess the potential of large-scale text mining for plant biology research in general and for network biology in particular using a state-of-the-art text mining system applied to all PubMed abstracts and PubMed Central full texts. We present extensive evaluation of the textual data for Arabidopsis thaliana, assessing the overall accuracy of this new resource for usage in plant network analyses. Furthermore, we combine text mining information with both protein-protein and regulatory interactions from experimental databases. Clusters of tightly connected genes are delineated from the resulting network, illustrating how such an integrative approach is essential to grasp the current knowledge available for Arabidopsis and to uncover gene information through guilt by association. All large-scale data sets, as well as the manually curated textual data, are made publicly available, hereby stimulating the application of text mining data in future plant biology studies.

Fuzzy Decision-Making Fuser (FDMF for Integrating Human-Machine Autonomous (HMA Systems with Adaptive Evidence Sources

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Yu-Ting Liu

2017-06-01

Full Text Available A brain-computer interface (BCI creates a direct communication pathway between the human brain and an external device or system. In contrast to patient-oriented BCIs, which are intended to restore inoperative or malfunctioning aspects of the nervous system, a growing number of BCI studies focus on designing auxiliary systems that are intended for everyday use. The goal of building these BCIs is to provide capabilities that augment existing intact physical and mental capabilities. However, a key challenge to BCI research is human variability; factors such as fatigue, inattention, and stress vary both across different individuals and for the same individual over time. If these issues are addressed, autonomous systems may provide additional benefits that enhance system performance and prevent problems introduced by individual human variability. This study proposes a human-machine autonomous (HMA system that simultaneously aggregates human and machine knowledge to recognize targets in a rapid serial visual presentation (RSVP task. The HMA focuses on integrating an RSVP BCI with computer vision techniques in an image-labeling domain. A fuzzy decision-making fuser (FDMF is then applied in the HMA system to provide a natural adaptive framework for evidence-based inference by incorporating an integrated summary of the available evidence (i.e., human and machine decisions and associated uncertainty. Consequently, the HMA system dynamically aggregates decisions involving uncertainties from both human and autonomous agents. The collaborative decisions made by an HMA system can achieve and maintain superior performance more efficiently than either the human or autonomous agents can achieve independently. The experimental results shown in this study suggest that the proposed HMA system with the FDMF can effectively fuse decisions from human brain activities and the computer vision techniques to improve overall performance on the RSVP recognition task. This

Fuzzy Decision-Making Fuser (FDMF) for Integrating Human-Machine Autonomous (HMA) Systems with Adaptive Evidence Sources.

Science.gov (United States)

Liu, Yu-Ting; Pal, Nikhil R; Marathe, Amar R; Wang, Yu-Kai; Lin, Chin-Teng

2017-01-01

A brain-computer interface (BCI) creates a direct communication pathway between the human brain and an external device or system. In contrast to patient-oriented BCIs, which are intended to restore inoperative or malfunctioning aspects of the nervous system, a growing number of BCI studies focus on designing auxiliary systems that are intended for everyday use. The goal of building these BCIs is to provide capabilities that augment existing intact physical and mental capabilities. However, a key challenge to BCI research is human variability; factors such as fatigue, inattention, and stress vary both across different individuals and for the same individual over time. If these issues are addressed, autonomous systems may provide additional benefits that enhance system performance and prevent problems introduced by individual human variability. This study proposes a human-machine autonomous (HMA) system that simultaneously aggregates human and machine knowledge to recognize targets in a rapid serial visual presentation (RSVP) task. The HMA focuses on integrating an RSVP BCI with computer vision techniques in an image-labeling domain. A fuzzy decision-making fuser (FDMF) is then applied in the HMA system to provide a natural adaptive framework for evidence-based inference by incorporating an integrated summary of the available evidence (i.e., human and machine decisions) and associated uncertainty. Consequently, the HMA system dynamically aggregates decisions involving uncertainties from both human and autonomous agents. The collaborative decisions made by an HMA system can achieve and maintain superior performance more efficiently than either the human or autonomous agents can achieve independently. The experimental results shown in this study suggest that the proposed HMA system with the FDMF can effectively fuse decisions from human brain activities and the computer vision techniques to improve overall performance on the RSVP recognition task. This conclusion

Samuel Beckett’s Humour

DEFF Research Database (Denmark)

Chemi, Tatiana

where does Beckett take his inspiration for his tragicomic characters and plots? Is it possible to talk about humour at all? This essay shows the textual evidence of Beckett using archetypes from different forms for comedy as circus, comic film, pantomime, Irish comedy.......where does Beckett take his inspiration for his tragicomic characters and plots? Is it possible to talk about humour at all? This essay shows the textual evidence of Beckett using archetypes from different forms for comedy as circus, comic film, pantomime, Irish comedy....

Norman Fairclough’s Textually Oriented Discourse Analysis in Vladimir Nabokov’s Lolita

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Pegah Sheibeh

2016-03-01

Full Text Available The present study is an attempt to use “textually oriented discourse analysis” of Norman Fairclough, (1941, to offer a new reading of Vladimir Nabokov’s Lolita (1955. The researcher found it quite appropriate to read the chosen work through Fairclough’s stylistic and discursive features in order to represent the identities of the main characters. Nabokov’s works represent an important portrayal of discursive challenges in the post-war American society that is largely invested in Fairclough’s theory. One of the most apparent aspects in Nabokov’s works is that of social identity and subject formation. As discourse theory denotes, a subject 'misrepresents' the world in ideology because he wants to do so, because there is some reward or benefit to him in doing so. Similarly Humbert Humbert in Lolita is looking for an imaginary world by which he can hide his suppressed identity. He fakes a new identity for himself through fiction. Considering the style of narration in Lolita, some reader consider Humbert as an unreliable narrator, he sometimes makes up some events and in some parts of the story he seems insane and uncertain. In Lolita Nabokov tries to show that each individual creates his/her reality and do not reflect reality. Humbert narrates his personal story from his point of view which might be different from people around him. Reality in Nabokov’s perspective is subjective and mixture of memory and imagination.

Sustentabilidade e entropia na geração textual variacional: PoemAds - sob o signo da devoração

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Rui Torres

2012-12-01

Full Text Available http://dx.doi.org/10.5007/1807-9288.2012v8n2p361   Descrição e contextualização teórica de um conjunto de poemas digitais realizados com o apoio do motor textual Poemário, seguindo procedimentos combinatórios e generativos. Este trabalho de literatura electrónica foi programado a partir da conjugação de vários slogans publicitários, constituindo dessa forma uma plagiotropia e uma devoração da publicidade actual. O léxico que alimenta estes processos foi tratado e seleccionado a partir de aproximadamente 10.000 anúncios publicitários e propagandísticos em língua portuguesa.

El patio iluminado, de Manuel Mujica Láinez. Modelización de un análisis integral del discurso

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Daniela Soledad González

2016-05-01

Full Text Available Para que un texto sea comprendido en su totalidad debe ser abordado de modo integral, relacionando sus diversos niveles de análisis y recurriendo a variadas disciplinas lingüísticas para explicarlo. En el presente trabajo, el texto El patio iluminado, de Manuel Mujica Láinez, se analiza teniendo en cuenta los siguientes aspectos: superestructura gráfica, superestructura semántica, macroestructura pragmática, microestructura, nivel proposicional, registro, actos de habla, explicaturas, implicaturas, procedimientos retóricos, estrategias de cortesía y polifonía. El objetivo de este trabajo es proporcionar un modelo de análisis textual integral a docentes –en especial, a quienes ejercen en el nivel superior– para que lo utilicen a la hora de explicar temas referentes a la pragmática y el análisis discursivo.

Functional Analytic Psychotherapy Is a Framework for Implementing Evidence-Based Practices: The Example of Integrated Smoking Cessation and Depression Treatment

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Holman, Gareth; Kohlenberg, Robert J.; Tsai, Mavis; Haworth, Kevin; Jacobson, Emily; Liu, Sarah

2012-01-01

Depression and cigarette smoking are recurrent, interacting problems that co-occur at high rates and--especially when depression is chronic--are difficult to treat and associated with costly health consequences. In this paper we present an integrative therapeutic framework for concurrent treatment of these problems based on evidence-based…

Cross-modal integration of lexical-semantic features during word processing: evidence from oscillatory dynamics during EEG.

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Markus J van Ackeren

Full Text Available In recent years, numerous studies have provided converging evidence that word meaning is partially stored in modality-specific cortical networks. However, little is known about the mechanisms supporting the integration of this distributed semantic content into coherent conceptual representations. In the current study we aimed to address this issue by using EEG to look at the spatial and temporal dynamics of feature integration during word comprehension. Specifically, participants were presented with two modality-specific features (i.e., visual or auditory features such as silver and loud and asked to verify whether these two features were compatible with a subsequently presented target word (e.g., WHISTLE. Each pair of features described properties from either the same modality (e.g., silver, tiny  =  visual features or different modalities (e.g., silver, loud  =  visual, auditory. Behavioral and EEG data were collected. The results show that verifying features that are putatively represented in the same modality-specific network is faster than verifying features across modalities. At the neural level, integrating features across modalities induces sustained oscillatory activity around the theta range (4-6 Hz in left anterior temporal lobe (ATL, a putative hub for integrating distributed semantic content. In addition, enhanced long-range network interactions in the theta range were seen between left ATL and a widespread cortical network. These results suggest that oscillatory dynamics in the theta range could be involved in integrating multimodal semantic content by creating transient functional networks linking distributed modality-specific networks and multimodal semantic hubs such as left ATL.

Towards Trustable Digital Evidence with PKIDEV: PKI Based Digital Evidence Verification Model

Science.gov (United States)

Uzunay, Yusuf; Incebacak, Davut; Bicakci, Kemal

How to Capture and Preserve Digital Evidence Securely? For the investigation and prosecution of criminal activities that involve computers, digital evidence collected in the crime scene has a vital importance. On one side, it is a very challenging task for forensics professionals to collect them without any loss or damage. On the other, there is the second problem of providing the integrity and authenticity in order to achieve legal acceptance in a court of law. By conceiving digital evidence simply as one instance of digital data, it is evident that modern cryptography offers elegant solutions for this second problem. However, to our knowledge, there is not any previous work proposing a systematic model having a holistic view to address all the related security problems in this particular case of digital evidence verification. In this paper, we present PKIDEV (Public Key Infrastructure based Digital Evidence Verification model) as an integrated solution to provide security for the process of capturing and preserving digital evidence. PKIDEV employs, inter alia, cryptographic techniques like digital signatures and secure time-stamping as well as latest technologies such as GPS and EDGE. In our study, we also identify the problems public-key cryptography brings when it is applied to the verification of digital evidence.

Are CSR disclosures relevant for investors? Empirical evidence from Germany

NARCIS (Netherlands)

Verbeeten, F.H.M.; Gamerschlag, R.; Möller, K.

2016-01-01

Purpose – The purpose of this paper is to examine whether narrative corporate social responsibility (CSR) disclosures (the provision of textual information on companies’ environmental and social performance to external stakeholders) are associated with firm value in Germany.

In the Beginning was the Genome: Genomics and the Bi-textuality of Human Existence.

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Zwart, H A E Hub

2018-04-01

This paper addresses the cultural impact of genomics and the Human Genome Project (HGP) on human self-understanding. Notably, it addresses the claim made by Francis Collins (director of the HGP) that the genome is the language of God and the claim made by Max Delbrück (founding father of molecular life sciences research) that Aristotle must be credited with having predicted DNA as the soul that organises bio-matter. From a continental philosophical perspective I will argue that human existence results from a dialectical interaction between two types of texts: the language of molecular biology and the language of civilisation; the language of the genome and the language of our socio-cultural, symbolic ambiance. Whereas the former ultimately builds on the alphabets of genes and nucleotides, the latter is informed by primordial texts such as the Bible and the Quran. In applied bioethics deliberations on genomics, science is easily framed as liberating and progressive, religious world-views as conservative and restrictive (Zwart 1993). This paper focusses on the broader cultural ambiance of the debate to discern how the bi-textuality of human existence is currently undergoing a transition, as not only the physiological, but also the normative dimension is being reframed in biomolecular and terabyte terms.

True Detective Stories: Media Textuality and the Anthology Format between Remediation and Transmedia Narratives

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Cristina Demaria

2014-12-01

Full Text Available Through the analysis of the recent HBO first season TV series True Detective (2014-, the essays focuses on the renewed anthology format of contemporary seriality as a way to inscribe the form of the novel in the transmedia imagination and its narrative models. While the first part of the essay concentrates on Media and Literary Studies’ debates on the statute of media texts, their materiality and the transformations of their contents in the participatory and convergent culture of prosumers, the second part is devoted to an in-depth reading of some of the main features of True Detective’s first season: from the ways it remediates many other genres and media, to how – as an audiovisual sychretyc text -  it plays with dialogues, cinematography, music and its temporal, spatial and seeing enunciative strategies and positions in order to construct a (quasidystopic narrative of America as an after-image, or, better, a post-collapse America and its Southern Gothic landscapes. In the lst paragraph, this writing briefly engages with how this particular format of TV series helps developing narrative models that fan we bpages and fanfic archives are still struggling not so much to comprehend, but to actually transform into an expanded textuality  able to tell a more ‘true’ story.

Integrating Nutrition and Child Development Interventions: Scientific Basis, Evidence of Impact, and Implementation Considerations123

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Black, Maureen M; Pérez-Escamilla, Rafael; Fernandez Rao, Sylvia

2015-01-01

The Millennium Development Goals (MDGs) have contributed to unprecedented reductions in poverty and improvement in the lives of millions of men, women, and children in low- and middle-income countries. Yet, hundreds of millions of children under 5 y of age are not reaching their developmental potential. This article reviews the scientific basis for early childhood nutrition and child development interventions, the impact of integrated interventions on children’s linear growth and cognitive development, and implementation strategies for integrated nutrition and child development programs. Advances in brain science have documented that the origins of adult health and well-being are grounded in early childhood, from conception through age 24 mo (first 1000 d) and extending to age 5 y (second 1000 d). Young children with adequate nutrition, nurturant caregiving, and opportunities for early learning have the best chances of thriving. Evidence from adoption, experimental, and quasi-experimental studies has shown that stunting prevention is sensitive during the first 1000 d, and sensitivity to child development interventions extends through the second 1000 d. Cognitive development responds to interventions post–1000 d with effect sizes that are inversely associated with initial age and length of program exposure. Integrated interventions need governance structures that support integrated policies and programming, with attention to training, supervision, and monitoring. The MDGs have been replaced by the Sustainable Development Goals (SDGs), with targets for the next 15 y. Achievement of the SDGs depends on children receiving adequate nutrition, nurturant caregiving, and learning opportunities from conception through age 5. PMID:26875208

The Desire for Amputation or Paralyzation: Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID).

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Blom, Rianne M; van Wingen, Guido A; van der Wal, Sija J; Luigjes, Judy; van Dijk, Milenna T; Scholte, H Steven; Denys, Damiaan

2016-01-01

Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for a neuro-anatomical basis is sparse. We collected T1-weighted structural magnetic resonance imaging scans on a 3T scanner in eight individuals with BIID and 24 matched healthy controls, and analyzed the data using voxel-based morphometry. The results showed reduced grey matter volume in the left dorsal and ventral premotor cortices and larger grey matter volume in the cerebellum (lobule VIIa) in individuals with BIID compared to controls. The premotor cortex and cerebellum are thought to be crucial for the experience of body-ownership and the integration of multisensory information. Our results suggest that BIID is associated with structural brain anomalies and might result from a dysfunction in the integration of multisensory information, leading to the feeling of disunity between the mental and physical body shape.

Rethinking Over Textuality of Digital Image: A Methodological Proposal for Pleasant Reading on Digital Screens

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Cristian Álvarez

2009-12-01

Full Text Available It sets out the necessity about thinking over the instructional function of image in digital world under the light of the new opportunities of a methodological proposal to read as a game. First, for this reason it exams the perceptions of García Canclini about the reading of university students, and its problems on the context of new technologies: accumulation of information versus weakening of reflection. To this situation it adds the no appreciation of visual images. Faced with this problematic situation, and with the aim of sketching out options, it analyzes two experiences about books: the “tasty” reading of texts (the “good reading”, and the potentialities presented in the essential characteristics of playing. So, it proposes a methodology shaped for five steps to read images on digital screen. Its aim is seizing the possibilities of “good reading” to expand the comprehension of the visual information perceived through the screen. The proposal puts the accent in the textuality of representational surface of an image. Also it brings the attentive visual route about in order to enable to identify both significant forms and spaces. This proposal is illustrated with examples.

Evidence-based integrated environmental solutions for secondary lead smelters: Pollution prevention and waste minimization technologies and practices

Energy Technology Data Exchange (ETDEWEB)

Genaidy, A.M., E-mail: world_tek_inc@yahoo.com [University of Cincinnati, Cincinnati, Ohio (United States); Sequeira, R. [University of Cincinnati, Cincinnati, Ohio (United States); Tolaymat, T. [U.S. Environmental Protection Agency, Office of Research and Development, Cincinnati, Ohio (United States); Kohler, J. [US Environmental Protection Agency, Office of Solid Waste and Emergency Response, Washington DC (United States); Rinder, M. [WorldTek Inc, Cincinnati (United States)

2009-05-01

An evidence-based methodology was adopted in this research to establish strategies to increase lead recovery and recycling via a systematic review and critical appraisal of the published literature. In particular, the research examines pollution prevention and waste minimization practices and technologies that meet the following criteria: (a) reduce/recover/recycle the largest quantities of lead currently being disposed of as waste, (b) technically and economically viable, that is, ready to be diffused and easily transferable, and (c) strong industry interest (i.e., industry would consider implementing projects with higher payback periods). The following specific aims are designed to achieve the study objectives: Aim 1 - To describe the recycling process of recovering refined lead from scrap; Aim 2 - To document pollution prevention and waste management technologies and practices adopted by US stakeholders along the trajectory of LAB and lead product life cycle; Aim 3 - To explore improved practices and technologies which are employed by other organizations with an emphasis on the aforementioned criteria; Aim 4 - To demonstrate the economic and environmental costs and benefits of applying improved technologies and practices to existing US smelting operations; and Aim 5 - To evaluate improved environmental technologies and practices using an algorithm that integrates quantitative and qualitative criteria. The process of identifying relevant articles and reports was documented. The description of evidence was presented for current practices and technologies used by US smelters as well as improved practices and technologies. Options for integrated environmental solutions for secondary smelters were introduced and rank ordered on the basis of costs (i.e., capital investment) and benefits (i.e., production increases, energy and flux savings, and reduction of SO2 and slag). An example was provided to demonstrate the utility of the algorithm by detailing the costs and

Evidence-based integrated environmental solutions for secondary lead smelters: pollution prevention and waste minimization technologies and practices.

Science.gov (United States)

Genaidy, A M; Sequeira, R; Tolaymat, T; Kohler, J; Rinder, M

2009-05-01

An evidence-based methodology was adopted in this research to establish strategies to increase lead recovery and recycling via a systematic review and critical appraisal of the published literature. In particular, the research examines pollution prevention and waste minimization practices and technologies that meet the following criteria: (a) reduce/recover/recycle the largest quantities of lead currently being disposed of as waste, (b) technically and economically viable, that is, ready to be diffused and easily transferable, and (c) strong industry interest (i.e., industry would consider implementing projects with higher payback periods). The following specific aims are designed to achieve the study objectives: Aim 1 - To describe the recycling process of recovering refined lead from scrap; Aim 2 - To document pollution prevention and waste management technologies and practices adopted by US stakeholders along the trajectory of LAB and lead product life cycle; Aim 3 - To explore improved practices and technologies which are employed by other organizations with an emphasis on the aforementioned criteria; Aim 4 - To demonstrate the economic and environmental costs and benefits of applying improved technologies and practices to existing US smelting operations; and Aim 5 - To evaluate improved environmental technologies and practices using an algorithm that integrates quantitative and qualitative criteria. The process of identifying relevant articles and reports was documented. The description of evidence was presented for current practices and technologies used by US smelters as well as improved practices and technologies. Options for integrated environmental solutions for secondary smelters were introduced and rank ordered on the basis of costs (i.e., capital investment) and benefits (i.e., production increases, energy and flux savings, and reduction of SO(2) and slag). An example was provided to demonstrate the utility of the algorithm by detailing the costs and

The Desire for Amputation or Paralyzation: Evidence for Structural Brain Anomalies in Body Integrity Identity Disorder (BIID)

OpenAIRE

Blom, Rianne M; van Wingen, Guido A; van der Wal, Sija J; Luigjes, Judy; van Dijk, Milenna T; Scholte, H Steven; Denys, D.

2016-01-01

BACKGROUND: Body Integrity Identity Disorder (BIID) is a condition in which individuals perceive a mismatch between their internal body scheme and physical body shape, resulting in an absolute desire to be either amputated or paralyzed. The condition is hypothesized to be of congenital nature, but evidence for a neuro-anatomical basis is sparse. METHODS: We collected T1-weighted structural magnetic resonance imaging scans on a 3T scanner in eight individuals with BIID and 24 matched healthy c...

The Potential of Text Mining in Data Integration and Network Biology for Plant Research: A Case Study on Arabidopsis[C][W

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Van Landeghem, Sofie; De Bodt, Stefanie; Drebert, Zuzanna J.; Inzé, Dirk; Van de Peer, Yves

2013-01-01

Despite the availability of various data repositories for plant research, a wealth of information currently remains hidden within the biomolecular literature. Text mining provides the necessary means to retrieve these data through automated processing of texts. However, only recently has advanced text mining methodology been implemented with sufficient computational power to process texts at a large scale. In this study, we assess the potential of large-scale text mining for plant biology research in general and for network biology in particular using a state-of-the-art text mining system applied to all PubMed abstracts and PubMed Central full texts. We present extensive evaluation of the textual data for Arabidopsis thaliana, assessing the overall accuracy of this new resource for usage in plant network analyses. Furthermore, we combine text mining information with both protein–protein and regulatory interactions from experimental databases. Clusters of tightly connected genes are delineated from the resulting network, illustrating how such an integrative approach is essential to grasp the current knowledge available for Arabidopsis and to uncover gene information through guilt by association. All large-scale data sets, as well as the manually curated textual data, are made publicly available, hereby stimulating the application of text mining data in future plant biology studies. PMID:23532071

Action Planning and the Timescale of Evidence Accumulation.

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Konstantinos Tsetsos

Full Text Available Perceptual decisions are based on the temporal integration of sensory evidence for different states of the outside world. The timescale of this integration process varies widely across behavioral contexts and individuals, and it is diagnostic for the underlying neural mechanisms. In many situations, the decision-maker knows the required mapping between perceptual evidence and motor response (henceforth termed "sensory-motor contingency" before decision formation. Here, the integrated evidence can be directly translated into a motor plan and, indeed, neural signatures of the integration process are evident as build-up activity in premotor brain regions. In other situations, however, the sensory-motor contingencies are unknown at the time of decision formation. We used behavioral psychophysics and computational modeling to test if knowledge about sensory-motor contingencies affects the timescale of perceptual evidence integration. We asked human observers to perform the same motion discrimination task, with or without trial-to-trial variations of the mapping between perceptual choice and motor response. When the mapping varied, it was either instructed before or after the stimulus presentation. We quantified the timescale of evidence integration under these different sensory-motor mapping conditions by means of two approaches. First, we analyzed subjects' discrimination threshold as a function of stimulus duration. Second, we fitted a dynamical decision-making model to subjects' choice behavior. The results from both approaches indicated that observers (i integrated motion information for several hundred ms, (ii used a shorter than optimal integration timescale, and (iii used the same integration timescale under all sensory-motor mappings. We conclude that the mechanisms limiting the timescale of perceptual decisions are largely independent from long-term learning (under fixed mapping or rapid acquisition (under variable mapping of sensory

Texto literario y texto fílmico : análisis comparativo-textual de "El invierno en Lisboa, Beltenebros y Plenilunio" de Antonio Muñoz Molina

OpenAIRE

Vázquez Naveira, Marta Maria

2016-01-01

En la tesis Texto literario y texto jilmico. A nálisis comparativo-textual de El invierno en Lisboa, Beltenebros y Plenilunio de Antonio Muñoz Molina analizamos, desde una perspectiva narratológica y filmica, las tres novelas del escritor y sus adaptaciones cinematográficas. El alcance de las relaciones entre cine y literatura es muy amplio y opera en ambas direcciones. En este trabajo se lleva a cabo un estudio comparativo de los textos con el fin de comprobar si mantienen ...

Textual Analysis of General Surgery Residency Personal Statements: Topics and Gender Differences.

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Ostapenko, Laura; Schonhardt-Bailey, Cheryl; Sublette, Jessica Walling; Smink, Douglas S; Osman, Nora Y

2017-10-25

Applicants to US general surgery residency training programs submit standardized applications. Applicants use the personal statement to express their individual rationale for a career in surgery. Our research explores common topics and gender differences within the personal statements of general surgery applicants. We analyzed the electronic residency application service personal statements of 578 applicants (containing 3,82,405 words) from Liaison Committee on Medical Education-accredited medical schools to a single ACGME-accredited general surgery program using an automated textual analysis program to identify common topics and gender differences. Using a recursive algorithm, the program identified common words and clusters, grouping them into topic classes, which are internally validated. We identified and labeled 8 statistically significant topic classes through independent review: "my story," "the art of surgery," "clinical vignettes," "why I love surgery," "residency program characteristics," "working as a team," "academics and research," and "global health and policy." Although some classes were common to all applications, we also identified gender-specific differences. Notably, women were significantly more likely than men to be represented within the class of "working as a team." (p differences between the statements of men and women. Women were more likely to discuss surgery as a team endeavor while men were more likely to focus on the details of their surgical experiences. Our work mirrors what has been found in social psychology research on gender-based differences in how men and women communicate their career goals and aspirations in other competitive professional situations. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

ML-Ask: Open Source Affect Analysis Software for Textual Input in Japanese

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Michal Ptaszynski

2017-06-01

Full Text Available We present ML-Ask – the first Open Source Affect Analysis system for textual input in Japanese. ML-Ask analyses the contents of an input (e.g., a sentence and annotates it with information regarding the contained general emotive expressions, specific emotional words, valence-activation dimensions of overall expressed affect, and particular emotion types expressed with their respective expressions. ML-Ask also incorporates the Contextual Valence Shifters model for handling negation in sentences to deal with grammatically expressible shifts in the conveyed valence. The system, designed to work mainly under Linux and MacOS, can be used for research on, or applying the techniques of Affect Analysis within the framework Japanese language. It can also be used as an experimental baseline for specific research in Affect Analysis, and as a practical tool for written contents annotation.   Funding statement: This research has been supported by: a Research Grant from the Nissan Science Foundation (years 2009–2010, The GCOE Program founded by Japan’s Ministry of Education, Culture, Sports, Science and Technology (years 2009–2010, (JSPS KAKENHI Grant-in-Aid for JSPS Fellows (Project Number: 22-00358 (years 2010–2012, (JSPS KAKENHI Grant-in-Aid for Scientific Research (Project Number: 24600001 (years 2012–2015, (JSPS KAKENHI Grant-in-Aid for Research Activity Start-up (Project Number: 25880003 (years 2013–2015, and (JSPS KAKENHI Grant-in-Aid for Encouragement of Young Scientists (B (Project Number: 15K16044 (years 2015-present, project estimated to end in March 2018.

Climate, environment and society in southern Italy during the last 2000 years. A review of the environmental, historical and archaeological evidence

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Sadori, Laura; Giraudi, Carlo; Masi, Alessia; Magny, Michel; Ortu, Elena; Zanchetta, Giovanni; Izdebski, Adam

2016-03-01

This paper examines the interrelationship between the natural and human history of Sicily over the last 2000 years. It presents a close comparison of the data from the key multi-proxy site of Lago di Pergusa - located inland in the eastern part of Sicily - with the existing archaeological and textual evidence on the socio-economic processes. The article also includes a review of the available natural proxy archives from the Central Mediterranean. On the basis of the isotope and pollen data from the Lago di Pergusa core PRG2, we identified two humid periods (ca. 450-750 AD and ca. 1400-1800 AD) as well as a dry one (ca. 1100-1350 AD); our evidence corresponds closely with other environmental palaeoclimate proxies from the Mediterranean region. In our synthesis of the environmental, historical and archaeological evidence from southern Italy, we argue that during both periods of increased humidity - that is during the late antique-Byzantine times and during the late medieval and early modern periods - intense agricultural use of the Sicilian landscape developed on an unprecedented scale. This in turn contributed to the impressive demographic and economic expansion visible during these periods. A sudden period of aridity followed the first of these eras of humidity-related agricultural growth. This climatic shift, dated to around 750 AD, corresponds to a decrease in synanthropic taxa and a recovery of arboreal vegetation. We argue that in this case a climatic change contributed to socio-economic decline. Moreover, as this change occurred prior to the Arab invasion of Sicily in AD 827, the environmental processes may help to explain the collapse of Byzantine society on Sicily which, in turn made the Muslim conquest possible. After this event, there occurred a longer period of agricultural decline, lasting until around 1000 AD, after which we see the first signs of a slow recovery. Ongoing research in nearby archaeological sites will help defining if it was a local

Sistema de ejercicios didácticos para desarrollar la comprensión textual en los estudiantes de séptimo grado

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Kendra Carballo Téllez

2017-11-01

Full Text Available Este artículo recoge los aspectos más relevantes de un tema actual en la práctica educativa cubana, el tratamiento didáctico a los indicadores para el desarrollo de una competencia cognitiva-comunicativa y sociocultural en la secundaria básica. Aporta un sistema de ejercicios didácticos para el desarrollo de la prensión lectora desde un enfoque cognitivo, comunicativo y sociocultural. Se toman como referentes, importantes definiciones, teorías esenciales y el algoritmo sugerido para la comprensión textual. El sistema de ejercicios didácticos propuesto contiene una fundamentación detallada, se ajusta a los requerimientos metodológicos de elaboración de este tipo de documento.

Integrating Veterinary Subject Expertise With Information Literacy Expertise to Teach and Assess the Student Skills in Evidence-based Veterinary Medicine

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Heather Moberly

2017-05-01

Full Text Available A 2015 survey of veterinary educators at AVMA accredited veterinary colleges indicated use of a wide variety of teaching modalities and a broad disparity among colleges about the amount of EBVM skills taught and their place in the curriculum. Evidence in learning theory suggests that teaching the skills of EBVM requires consideration of ways to optimise the transfer of skills from the didactic or pre-clinical to the clinical setting. We partnered to successfully integrate asking a clinical question, searching the literature, appraising the literature, and applying evidence to the clinical question to make a clinical recommendation in a pre-clinical, 2nd year, course (pharmacology and two 4th year clinical rotations (Small Animal Dermatology and Food Animal. We use lecture and paired work to introduce identifying knowledge gaps and writing background and PICO questions. Searching the biomedical literature is taught in hands-on labs with lecture followed up with open tutorial hands-on lab opportunities. Students initially work in small groups to learn critical appraisal using a literature evaluation form we created, and then learn to apply the evidence in order to make a clinical recommendation. We will report on the learning activities, assignments, rubrics, and student outcomes. Teaching materials are Creative Commons licensed and will be distributed. We will also describe challenges and recommendations for integrating EBVM skills into other disciplines.

Integrating microfinance and health strategies: examining the evidence to inform policy and practice.

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Leatherman, Sheila; Metcalfe, Marcia; Geissler, Kimberley; Dunford, Christopher

2012-03-01

Single solutions continue to be inadequate in confronting the prevalent problems of poverty, ill health and insufficient health system capacity worldwide. The poor need access to an integrated set of financial and health services to have income security and better health. Over 3500 microfinance institutions (MFIs) provide microcredit and financial services to more than 155 million households worldwide. Conservative estimates indicate that at least 34 million of these households are very poor by the definition in the Millennium Development Goals, representing around 170 million people, many in remote areas beyond the reach of health agencies, both private and governmental. A small but increasing number of MFIs offer health-related services, such as education, clinical care, community health workers, health-financing and linkages to public and private health providers. Multiple studies indicate the effectiveness of microfinance and its impact on poverty. A small but growing number of studies also attempt to show that MFIs are capable of contributing to health improvement by increasing knowledge that leads to behavioural changes, and by enhancing access to health services through addressing financial, geographic and other barriers. While these studies are of uneven quality, they indicate positive health benefits in diverse areas such as maternal and child health, malaria and other infectious disease, and domestic violence. While more rigorous research is needed to inform policy and guide programme implementation to integrate microfinance and health interventions that can reliably enhance the well-being of the poor, there is useful evidence to support the design and delivery of integrated programmes now. Worldwide, current public health programmes and health systems are proving to be inadequate to meet population needs. The microfinance sector offers an underutilized opportunity for delivery of health-related services to many hard-to-reach populations.

The Interdisciplinarity in the Students' Questions in Science Classes of the Elementary School: Contributions of Discursive Textual Analysis

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Maurivan Güntzel Ramos

2017-12-01

Full Text Available The article presents the analysis of 342 questions on the theme "Water", proposed by 114 students from three elementary schools in the South region of Brazil, in order to identify interdisciplinary articulations associated with complex thinking present in these questions. The research sought to answer the following question: What revelations can emerge from the analysis of student's questions about a specific topic of study, such as "Water", in relation to interdisciplinarity and complex thinking? From the discursive textual analysis of the questions, two categories emerged: disciplinary questions; and interdisciplinary questions. The examination of the content of the categories enabled the writing of metatexts that reveal that in the text of most of the students' questions, is present a complex mode of thinking and interdisciplinary relationships, since 77.8% of the questions belong to second category. This can be an indication to teachers of how to initiate pedagogical actions, whose focus is interdisciplinarity.

Inhibition of Pre-Supplementary Motor Area by Continuous Theta Burst Stimulation Leads to More Cautious Decision-making and More Efficient Sensory Evidence Integration.

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Tosun, Tuğçe; Berkay, Dilara; Sack, Alexander T; Çakmak, Yusuf Ö; Balcı, Fuat

2017-08-01

Decisions are made based on the integration of available evidence. The noise in evidence accumulation leads to a particular speed-accuracy tradeoff in decision-making, which can be modulated and optimized by adaptive decision threshold setting. Given the effect of pre-SMA activity on striatal excitability, we hypothesized that the inhibition of pre-SMA would lead to higher decision thresholds and an increased accuracy bias. We used offline continuous theta burst stimulation to assess the effect of transient inhibition of the right pre-SMA on the decision processes in a free-response two-alternative forced-choice task within the drift diffusion model framework. Participants became more cautious and set higher decision thresholds following right pre-SMA inhibition compared with inhibition of the control site (vertex). Increased decision thresholds were accompanied by an accuracy bias with no effects on post-error choice behavior. Participants also exhibited higher drift rates as a result of pre-SMA inhibition compared with the vertex inhibition. These results, in line with the striatal theory of speed-accuracy tradeoff, provide evidence for the functional role of pre-SMA activity in decision threshold modulation. Our results also suggest that pre-SMA might be a part of the brain network associated with the sensory evidence integration.

Integrating the Principles of Effective Intervention into Batterer Intervention Programming: The Case for Moving Toward More Evidence-Based Programming.

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Radatz, Dana L; Wright, Emily M

2016-01-01

The majority of batterer intervention program (BIP) evaluations have indicated they are marginally effective in reducing domestic violence recidivism. Meanwhile, correctional programs used to treat a variety of offenders (e.g., substance users, violent offenders, and so forth) that adhere to the "principles of effective intervention" (PEI) have reported significant reductions in recidivism. This article introduces the PEI-the principles on which evidence-based practices in correctional rehabilitation are based-and identifies the degree to which they are currently integrated into BIPs. The case is made that batterer programs could be more effective if they incorporate the PEI. Recommendations for further integration of the principles into BIPs are also provided. © The Author(s) 2015.

The dynamics of multimodal integration: The averaging diffusion model.

Science.gov (United States)

Turner, Brandon M; Gao, Juan; Koenig, Scott; Palfy, Dylan; L McClelland, James

2017-12-01

We combine extant theories of evidence accumulation and multi-modal integration to develop an integrated framework for modeling multimodal integration as a process that unfolds in real time. Many studies have formulated sensory processing as a dynamic process where noisy samples of evidence are accumulated until a decision is made. However, these studies are often limited to a single sensory modality. Studies of multimodal stimulus integration have focused on how best to combine different sources of information to elicit a judgment. These studies are often limited to a single time point, typically after the integration process has occurred. We address these limitations by combining the two approaches. Experimentally, we present data that allow us to study the time course of evidence accumulation within each of the visual and auditory domains as well as in a bimodal condition. Theoretically, we develop a new Averaging Diffusion Model in which the decision variable is the mean rather than the sum of evidence samples and use it as a base for comparing three alternative models of multimodal integration, allowing us to assess the optimality of this integration. The outcome reveals rich individual differences in multimodal integration: while some subjects' data are consistent with adaptive optimal integration, reweighting sources of evidence as their relative reliability changes during evidence integration, others exhibit patterns inconsistent with optimality.

Integrating Evidence From Systematic Reviews, Qualitative Research, and Expert Knowledge Using Co-Design Techniques to Develop a Web-Based Intervention for People in the Retirement Transition.

Science.gov (United States)

O'Brien, Nicola; Heaven, Ben; Teal, Gemma; Evans, Elizabeth H; Cleland, Claire; Moffatt, Suzanne; Sniehotta, Falko F; White, Martin; Mathers, John C; Moynihan, Paula

2016-08-03

Integrating stakeholder involvement in complex health intervention design maximizes acceptability and potential effectiveness. However, there is little methodological guidance about how to integrate evidence systematically from various sources in this process. Scientific evidence derived from different approaches can be difficult to integrate and the problem is compounded when attempting to include diverse, subjective input from stakeholders. The intent of the study was to describe and appraise a systematic, sequential approach to integrate scientific evidence, expert knowledge and experience, and stakeholder involvement in the co-design and development of a complex health intervention. The development of a Web-based lifestyle intervention for people in retirement is used as an example. Evidence from three systematic reviews, qualitative research findings, and expert knowledge was compiled to produce evidence statements (stage 1). Face validity of these statements was assessed by key stakeholders in a co-design workshop resulting in a set of intervention principles (stage 2). These principles were assessed for face validity in a second workshop, resulting in core intervention concepts and hand-drawn prototypes (stage 3). The outputs from stages 1-3 were translated into a design brief and specification (stage 4), which guided the building of a functioning prototype, Web-based intervention (stage 5). This prototype was de-risked resulting in an optimized functioning prototype (stage 6), which was subject to iterative testing and optimization (stage 7), prior to formal pilot evaluation. The evidence statements (stage 1) highlighted the effectiveness of physical activity, dietary and social role interventions in retirement; the idiosyncratic nature of retirement and well-being; the value of using specific behavior change techniques including those derived from the Health Action Process Approach; and the need for signposting to local resources. The intervention

Developing Traditional Chinese Medicine in the Era of Evidence-Based Medicine: Current Evidences and Challenges

Science.gov (United States)

Fung, Foon Yin; Linn, Yeh Ching

2015-01-01

Evidence-based medicine (EBM), by integrating individual clinical expertise with the best available clinical evidence from systematic research, has in recent years been established as the standard of modern medical practice for greater treatment efficacy and safety. Traditional Chinese Medicine (TCM), on the other hand, evolved as a system of medical practice from ancient China more than 2000 years ago based on empirical knowledge as well as theories and concepts which are yet to be mapped by scientific equivalents. Despite the expanding TCM usage and the recognition of its therapeutic benefits worldwide, the lack of robust evidence from the EBM perspective is hindering acceptance of TCM by the Western medicine community and its integration into mainstream healthcare. For TCM to become an integral component of the healthcare system so that its benefits can be rationally harnessed in the best interests of patients, it is essential for TCM to demonstrate its efficacy and safety by high-level evidence in accordance with EBM, though much debate remains on the validity and feasibility of applying the EBM model on this traditional practice. This review aims to discuss the current status of research in TCM, explore the evidences available on its efficacy and safety, and highlight the issues and challenges faced in applying EBM to TCM. PMID:25949261

Didactic implications of the history of science in Physics Education: a literature review through discursive textual analysis

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Edmundo Rodrigues Junior

2015-10-01

Full Text Available This work presents a literature review of the educational implications of the history of science in the teaching of Physics in the period 2010 to 2014. The technique used to analyze the data was the discursive textual analysis with the categories defined a priori. These categories include different teaching strategies for the teaching of history of science in Physics classes such as the use of primary or original sources, historical case studies, science through drama activities, historical experiments, biographies and /or autobiographies of scientists and the content analysis of the history of science present in textbooks. The result showed that 36 articles of 1659 available in journals use these teaching strategies. The results of the interpretative step consisted in the production of six metatexts in which two learning objectives were identified: the first one is related to physical concepts and the second one in aspects related to understanding the Nature of Science. The evaluation tools used by the authors to assess the students’ knowledge were identified in our corpus too.

Integrated versus non-integrated orbital implants for treating anophthalmic sockets.

Science.gov (United States)

Schellini, Silvana; El Dib, Regina; Silva, Leandro Re; Farat, Joyce G; Zhang, Yuqing; Jorge, Eliane C

2016-11-07

, 95% CI 1.01 to 2.91) or PMMA with myoconjunctival enucleation (-0.57 mm, 95% CI -1.63 to 0.49). Similarly, for vertical implant motility, there was very low-certainty evidence of a difference in the comparison of PP to PMMA traditional (MD 3.12 mm 95% CI 2.36 to 3.88) but no evidence of a difference when comparing PP to PMMA myoconjunctival (MD -0.20 mm 95% CI -1.28 to 0.88). Four people in the PP group (total N = 50) experienced adverse events (i.e. exposures) compared to 6/100 in the PMMA groups (RR 17.82, 95% CI 0.98 to 324.67, N = 150, very low-certainty evidence).None of the studies reported socket sphere size, cosmetic effect or quality of life measures. Current very low-certainty evidence from three small published randomised controlled trials did not provide sufficient evidence to assess the effect of integrated and non-integrated material orbital implants for treating anophthalmic sockets. This review underlines the need to conduct further well-designed trials in this field.

Collaborative Knowledge Building and Integral Theory: On Perspectives, Uncertainty, and Mutual Regard

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Tom Murray

2006-06-01

Full Text Available Uncertainty in knowing and communicating affect all aspects of modern life. Ubiquitous and inevitable uncertainty, including ambiguity and paradox, is particularly salient and important in knowledge building communities. Because knowledge building communities represent and evolve knowledge explicitly, the causes, effects, and approaches to this “epistemological indeterminacy” can be directly addressed in knowledge building practices. Integral theory’s approach (including “methodological pluralism” involves accepting and integrating diverse perspectives in ways that transcend and include them. This approach accentuates the problems of epistemological indeterminacy and highlights the general need to deal creatively with it. This article begins with a cursory analysis of textual dialogs among integral theorists, showing that, while integral theory itself points to leading-edge ways of dealing with epistemological indeterminacy, the knowledge building practices of integral theorists, by and large, exhibit the same limitations as traditional intellectual discourses. Yet, due to its values and core methods, the integral theory community is in a unique position to develop novel and more adequate modes of inquiry and dialog. This text explores how epistemological indeterminacy impacts the activities and products of groups engaged in collaborative knowledge building. Approaching the issue from three perspectives–mutual understanding, mutual agreement, and mutual regard—I show the interdependence of those perspectives and ground them in relation to integral theory’s concerns. This article proposes three phases of developing constructive alternatives drawn from the knowledge building field: awareness of the phenomena, understanding the phenomena, and offering some tools (and some hope for dealing with it. Though here I focus on the integral theory community (or communities, the conclusions of the article are meant to be applicable to any

Collaborative Knowledge Building and Integral Theory:On Perspectives,Uncertainty, and Mutual Regard

Directory of Open Access Journals (Sweden)

Tom Murray

2006-06-01

Full Text Available Uncertainty in knowing and communicating affect all aspects of modern life. Ubiquitous and inevitable uncertainty, including ambiguity and paradox, is particularly salient and important in knowledge building communities. Because knowledge building communities represent and evolve knowledge explicitly, the causes, effects, and approaches to this “epistemological indeterminacy” can be directly addressed in knowledge building practices. Integral theory's approach (including “methodological pluralism” involves accepting and integrating diverse perspectives in ways that transcend and include them. This approach accentuates the problems of epistemological indeterminacy and highlights the general need to deal creatively with it. This article begins with a cursory analysis of textual dialogs among integral theorists, showing that, while integral theory itself points to leading-edge ways of dealing with epistemological indeterminacy, the knowledge building practices of integral theorists, by and large, exhibit the same limitations as traditional intellectual discourses. Yet, due to its values and core methods, the integral theory community is in a unique position to develop novel and more adequate modes of inquiry and dialog. This text explores how epistemological indeterminacy impacts the activities and products of groups engaged in collaborative knowledge building. Approaching the issue from three perspectives—mutual understanding, mutual agreement, and mutual regard—I show the interdependence of those perspectives and ground them in relation to integral theory’s concerns. This article proposes three phases of developing constructive alternatives drawn from the knowledge building field: awareness of the phenomena, understanding the phenomena, and offering some tools (and some hope for dealing with it. Though here I focus on the integral theory community (or communities, the conclusions of the article are meant to be applicable to any

Integração financeira e crescimento econômico: teoria, evidência e política Financial integration and economic growth: theory, evidence and policy

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Aderbal Oliveira Damasceno

2012-12-01

Full Text Available Este trabalho desenvolve uma análise teórica e empírica sobre as relações entre integração financeira e crescimento econômico. Utilizando dados para 105 países durante o período 1980-2004, serão estimadas equações de crescimento especificadas na forma de um modelo dinâmico de dados em painel. A análise da literatura teórica explicita a fragilidade do arcabouço teórico que fundamenta a hipótese de que a integração financeira estimula o crescimento econômico de longo prazo. As evidências econométricas apresentadas não corroboram a hipótese de que a integração financeira estimula o crescimento econômico de longo prazo mesmo em países com alto nível de desenvolvimento institucional, de desenvolvimento financeiro, de abertura comercial, de estabilidade macroeconômica e de flexibilidade do regime cambial. Esses resultados questionam os fundamentos subjacentes às recomendações de políticas para eliminação de controles de capitais.This paper develops a theoretical and empirical analysis regarding the relationship between financial integration and long-run economic growth. Using data for a sample of 105 countries over the period 1980-2004, will be estimated growth equations specified in the form of a dynamic panel data model. The theoretical literature analysis clarifies the fragility of the theoretical framework that fundaments the hypothesis that financial integration stimulates long-run economic growth. The econometrical evidences presented do not corroborate the hypothesis that financial integration stimulates the long-run economic growth, even for countries with high levels of institutional development, of financial development, of trade openness, of macroeconomic stability and of exchange rate arrangement flexibility. These results question the rationale underlying the policy recommendations for the elimination of capital controls.

O herói na forma e no conteúdo: análise textual do Mangá Dragon Ball e Dragon Ball Z.

OpenAIRE

Silva, André Luiz Souza da

2006-01-01

A presente dissertação, intitulada O herói na forma e no conteúdo: análise textual do mangá Dragon Ball e Dragon Ball Z, objetiva averiguar os aspectos narrativos que compõem o mangá ao longo dessa série, verificando o papel do herói e a sua relação com os demais personagens. Para isso, a investigação analisa os aspectos plásticos do herói no contexto da economia narrativa geral dos quadrinhos. O objetivo é ponderar e realçar certos aspectos de ordem morfológica e das ações narrativas entre o...

The friends that game together: A folkloric expansion of textual poaching to genre farming for socialization in tabletop role-playing games

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Michael Robert Underwood

2009-03-01

Full Text Available Tabletop role-playing games (RPGs are a folkloric form for creating and reaffirming community bonds and performing identity. Gaming is used to communicate and perform cultural capital and identity through fictional narratives, functioning as a form of community building and/or personal expression. With quotations from ethnographic research over the course of 2 years, including interviews with several groups of gamers and participant observation, I examine the ways that players create and affirm social bonds. I return to Michel De Certeau's idea of textual poaching, as adapted by Henry Jenkins, to contrast with it a new concept of genre farming. As both platform for and object of genre farming, RPGs allow players to display cultural competence, create and reaffirm social ties, and seek entertainment in a collaborative fashion.

Multisensory integration in complete unawareness: evidence from audiovisual congruency priming.

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Faivre, Nathan; Mudrik, Liad; Schwartz, Naama; Koch, Christof

2014-11-01

Multisensory integration is thought to require conscious perception. Although previous studies have shown that an invisible stimulus could be integrated with an audible one, none have demonstrated integration of two subliminal stimuli of different modalities. Here, pairs of identical or different audiovisual target letters (the sound /b/ with the written letter "b" or "m," respectively) were preceded by pairs of masked identical or different audiovisual prime digits (the sound /6/ with the written digit "6" or "8," respectively). In three experiments, awareness of the audiovisual digit primes was manipulated, such that participants were either unaware of the visual digit, the auditory digit, or both. Priming of the semantic relations between the auditory and visual digits was found in all experiments. Moreover, a further experiment showed that unconscious multisensory integration was not obtained when participants did not undergo prior conscious training of the task. This suggests that following conscious learning, unconscious processing suffices for multisensory integration. © The Author(s) 2014.

Introduction to evidence-based medicine(EBM)

International Nuclear Information System (INIS)

Choe, Jae Gol

2001-01-01

EBM is 'the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.' EBM is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care. The practice of EBM is usually triggered by patient encounters which generate questions about the effects of therapy, the utility of diagnostic tests, the prognosis of diseases, or the etiology of disorders. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. Evidence-based medicine requires new skills of the clinician, including efficient literature-searching, and the application of formal rules of evidence in evaluating the clinical literature. Evidence-based medicine converts the abstract exercise of reading and appraising the literature into the pragmatic process of using the literature to benefit individual patients while simultaneously expanding the clinician's knowledge base. This review will briefly discuss about concepts of evidence medicine and method of critical appraisal of literatures

The Empirical Evidence on Government Bond Market Integration in East Asia

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Lian Liu

2016-03-01

Full Text Available This research intends to investigate the progress made in East Asian bond market integration thus far. Price-based measures (AAD indicator and beta-convergence measure, quantity-based measures and econometric techniques (co-integration test, error correction model based Granger causality test are employed in the analysis. Even though East Asian government bond markets have become more integrated since 2001, the differentials among the markets still remain significantly high. The bond market integration process seems slow. The convergence of bond markets sped up in 2003 and after the 2008 world financial crisis, implying the important role of government policies in integrating the regional bond markets. East Asian bond market integration may need more government-directed measures.

Integrating evidence-based principles into the undergraduate ...

African Journals Online (AJOL)

Background. The research methodology module was reviewed as part of the overall revision of the undergraduate physiotherapy curriculum of Stellenbosch University. This created an ideal platform from which to assess how to align the principles of evidence-based practice (EBP) with research methodology. Fostering the ...

Probabilistic inference under time pressure leads to a cortical-to-subcortical shift in decision evidence integration.

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Oh-Descher, Hanna; Beck, Jeffrey M; Ferrari, Silvia; Sommer, Marc A; Egner, Tobias

2017-11-15

Real-life decision-making often involves combining multiple probabilistic sources of information under finite time and cognitive resources. To mitigate these pressures, people "satisfice", foregoing a full evaluation of all available evidence to focus on a subset of cues that allow for fast and "good-enough" decisions. Although this form of decision-making likely mediates many of our everyday choices, very little is known about the way in which the neural encoding of cue information changes when we satisfice under time pressure. Here, we combined human functional magnetic resonance imaging (fMRI) with a probabilistic classification task to characterize neural substrates of multi-cue decision-making under low (1500 ms) and high (500 ms) time pressure. Using variational Bayesian inference, we analyzed participants' choices to track and quantify cue usage under each experimental condition, which was then applied to model the fMRI data. Under low time pressure, participants performed near-optimally, appropriately integrating all available cues to guide choices. Both cortical (prefrontal and parietal cortex) and subcortical (hippocampal and striatal) regions encoded individual cue weights, and activity linearly tracked trial-by-trial variations in the amount of evidence and decision uncertainty. Under increased time pressure, participants adaptively shifted to using a satisficing strategy by discounting the least informative cue in their decision process. This strategic change in decision-making was associated with an increased involvement of the dopaminergic midbrain, striatum, thalamus, and cerebellum in representing and integrating cue values. We conclude that satisficing the probabilistic inference process under time pressure leads to a cortical-to-subcortical shift in the neural drivers of decisions. Copyright © 2017 Elsevier Inc. All rights reserved.

Temporal processing asymmetries between the cerebral hemispheres: evidence and implications.

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Nicholls, M E

1996-07-01

This paper reviews a large body of research which has investigated the capacities of the cerebral hemispheres to process temporal information. This research includes clinical, non-clinical, and electrophysiological experimentation. On the whole, the research supports the notion of a left hemisphere advantage for temporal resolution. The existence of such an asymmetry demonstrates that cerebral lateralisation is not limited to the higher-order functions such as language. The capacity for the resolution of fine temporal events appears to play an important role in other left hemisphere functions which require a rapid sequential processor. The functions that are facilitated by such a processor include verbal, textual, and fine movement skills. The co-development of these functions with an efficient temporal processor can be accounted for with reference to a number of evolutionary scenarios. Physiological evidence favours a temporal processing mechanism located within the left temporal cortex. The function of this mechanism may be described in terms of intermittency or travelling moment models of temporal processing. The travelling moment model provides the most plausible account of the asymmetry.

Integrating Evidence From Systematic Reviews, Qualitative Research, and Expert Knowledge Using Co-Design Techniques to Develop a Web-Based Intervention for People in the Retirement Transition

Science.gov (United States)

O'Brien, Nicola; Heaven, Ben; Teal, Gemma; Evans, Elizabeth H; Cleland, Claire; Moffatt, Suzanne; Sniehotta, Falko F; White, Martin; Mathers, John C

2016-01-01

Background Integrating stakeholder involvement in complex health intervention design maximizes acceptability and potential effectiveness. However, there is little methodological guidance about how to integrate evidence systematically from various sources in this process. Scientific evidence derived from different approaches can be difficult to integrate and the problem is compounded when attempting to include diverse, subjective input from stakeholders. Objective The intent of the study was to describe and appraise a systematic, sequential approach to integrate scientific evidence, expert knowledge and experience, and stakeholder involvement in the co-design and development of a complex health intervention. The development of a Web-based lifestyle intervention for people in retirement is used as an example. Methods Evidence from three systematic reviews, qualitative research findings, and expert knowledge was compiled to produce evidence statements (stage 1). Face validity of these statements was assessed by key stakeholders in a co-design workshop resulting in a set of intervention principles (stage 2). These principles were assessed for face validity in a second workshop, resulting in core intervention concepts and hand-drawn prototypes (stage 3). The outputs from stages 1-3 were translated into a design brief and specification (stage 4), which guided the building of a functioning prototype, Web-based intervention (stage 5). This prototype was de-risked resulting in an optimized functioning prototype (stage 6), which was subject to iterative testing and optimization (stage 7), prior to formal pilot evaluation. Results The evidence statements (stage 1) highlighted the effectiveness of physical activity, dietary and social role interventions in retirement; the idiosyncratic nature of retirement and well-being; the value of using specific behavior change techniques including those derived from the Health Action Process Approach; and the need for signposting to local

COMBINATION OF GENETIC ALGORITHM AND DEMPSTER-SHAFER THEORY OF EVIDENCE FOR LAND COVER CLASSIFICATION USING INTEGRATION OF SAR AND OPTICAL SATELLITE IMAGERY

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H. T. Chu

2012-07-01

Full Text Available The integration of different kinds of remotely sensed data, in particular Synthetic Aperture Radar (SAR and optical satellite imagery, is considered a promising approach for land cover classification because of the complimentary properties of each data source. However, the challenges are: how to fully exploit the capabilities of these multiple data sources, which combined datasets should be used and which data processing and classification techniques are most appropriate in order to achieve the best results. In this paper an approach, in which synergistic use of a feature selection (FS methods with Genetic Algorithm (GA and multiple classifiers combination based on Dempster-Shafer Theory of Evidence, is proposed and evaluated for classifying land cover features in New South Wales, Australia. Multi-date SAR data, including ALOS/PALSAR, ENVISAT/ASAR and optical (Landsat 5 TM+ images, were used for this study. Textural information were also derived and integrated with the original images. Various combined datasets were generated for classification. Three classifiers, namely Artificial Neural Network (ANN, Support Vector Machines (SVMs and Self-Organizing Map (SOM were employed. Firstly, feature selection using GA was applied for each classifier and dataset to determine the optimal input features and parameters. Then the results of three classifiers on particular datasets were combined using the Dempster-Shafer theory of Evidence. Results of this study demonstrate the advantages of the proposed method for land cover mapping using complex datasets. It is revealed that the use of GA in conjunction with the Dempster-Shafer Theory of Evidence can significantly improve the classification accuracy. Furthermore, integration of SAR and optical data often outperform single-type datasets.

Textual and language flaws: problems for Spanish doctors in producing abstracts in English

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Lourdes Divasson Cilveti

2006-04-01

Full Text Available Scientific journals are the primary source of information for researchers. The number of articles currently indexed in databases is so large that it has become almost impossible to read every relevant article in a particular field. Thus, research paper abstracts (RPAs have acquired increasing importance. Several studies have shown that they are the skipping point, particularly among non-native English speakers. To our knowledge, little research has been carried out on RPA writing by Spanish doctors. It is thus the objective of this article to analyse the way abstracts are structured and linguistically realized by these professionals. We selected 30 RPAs written in English by Spanish speaking doctors from three leading Spanish journals on internal medicine. We recorded their textual level flaws by measuring the degree of informativeness with regard to three main variables: move patterning, ordering and structuring, and their language use flaws under two broad categories: ortho-typographic and grammatical. Length, use of hedges and keywords were also identified. 86.6% of the abstracts were informative, 13.3% uninformative while none of them could be classified as highly informative. With regard to the authors' use of language, over 70% presented some kind of flaws: 21.55% of these mistakes were ortho-typographic while 78.44% were grammatical. Our results support the need of designing specific units geared on the one hand towards explicit teaching of structured abstracts and on the other, towards the difficulties found by doctors because they lack language competence. They would also benefit from clearer guidelines from journal editors.

The integration and evaluation of a social-media facilitated journal club to enhance the student learning experience of evidence-based practice: A case study.

Science.gov (United States)

Ferguson, Caleb; DiGiacomo, Michelle; Gholizadeh, Leila; Ferguson, Leila E; Hickman, Louise D

2017-01-01

Nurses are required to interpret and apply knowledge so communities will receive care based on best available evidence, as opposed to care that is simply based on tradition or authority. Fostering nursing students' critical appraisal skills will assist in their capacity to engage with, interpret and use best evidence. Journal clubs are frequently used approach to engage learners with research and develop critical appraisal skills. Given new flipped and blended approaches to teaching and learning there is need to rejuvenate how research is utilised and integrated within journal clubs to maximise engagement and translation of evidence. This paper provides a case study of a single site Australian university experience of transitioning a traditional physical journal club, to a social media-facilitated club within a postgraduate health subject to stimulate and facilitate engagement with the chosen manuscripts. This case study is based on our own experiences, supported by literature and includes qualitative comments obtained via student feedback surveys during November 2015. Case study. Social media-facilitated journal clubs offer an efficient way to continue developing critical appraisal skills in nursing students. The integration of a social media-facilitated journal clubs increased student attention, engagement with presented activities and overall student satisfaction within this evidence-based practice subject. Future rigorously-designed, large-scale studies are required to evaluate the impact of online journal clubs on the uptake of evidence-based practice, including those resulting in improved patient outcomes. Copyright © 2016 Elsevier Ltd. All rights reserved.

[Textual research on Costus root (Aucklandia lappa Decne) in the Sheng nong ben cao jing (Shennong's Classic of Materia Medica)].

Science.gov (United States)

Li, Guangyan; Wang, Dequn; Fang, Shiying; Xu, Maohong

2014-05-01

Aucklandia lappa Decne was first recorded in the Sheng nong ben cao jing (Shennong's Classic of Materia Medica). Through the textual research of herbal literature, it was found that the costus root in the Sheng nong ben cao jing perhaps was not the plant of Aucklandia lappa Decne of Compositae, but the eaglewood or Lignum Aquilasria Resinatum based on the comprehensive judgment of shape, taste, nature, and function etc. In the Sheng nong ben cao jing, it only includes costus root without the title of eaglewood, and Tao Hongjing recorded both herbs together in his Ming yi bie lu (Supplementary Records of Celebrated Physicians), which became a foreshadow of misunderstanding of the later generations. Beginning from the Tang ben cao (Materia Medica of the Tang Dynasty), the costus root was considered as the plant of Auckiandia lappa Decne from the Compostae with its profound influence until now.

Health decision making: lynchpin of evidence-based practice.

Science.gov (United States)

Spring, Bonnie

2008-01-01

Health decision making is both the lynchpin and the least developed aspect of evidence-based practice. The evidence-based practice process requires integrating the evidence with consideration of practical resources and patient preferences and doing so via a process that is genuinely collaborative. Yet, the literature is largely silent about how to accomplish integrative, shared decision making. for evidence-based practice are discussed for 2 theories of clinician decision making (expected utility and fuzzy trace) and 2 theories of patient health decision making (transtheoretical model and reasoned action). Three suggestions are offered. First, it would be advantageous to have theory-based algorithms that weight and integrate the 3 data strands (evidence, resources, preferences) in different decisional contexts. Second, patients, not providers, make the decisions of greatest impact on public health, and those decisions are behavioral. Consequently, theory explicating how provider-patient collaboration can influence patient lifestyle decisions made miles from the provider's office is greatly needed. Third, although the preponderance of data on complex decisions supports a computational approach, such an approach to evidence-based practice is too impractical to be widely applied at present. More troublesomely, until patients come to trust decisions made computationally more than they trust their providers' intuitions, patient adherence will remain problematic. A good theory of integrative, collaborative health decision making remains needed.

Evidence-based radiography

International Nuclear Information System (INIS)

Hafslund, Bjorg; Clare, Judith; Graverholt, Birgitte; Wammen Nortvedt, Monica

2008-01-01

Evidence-based practice (EBP) offers the integration of the best research evidence with clinical knowledge and expertise and patient values. EBP is a well known term in health care. This paper discusses the implementation of EBP into radiography and introduces the term evidence-based radiography. Evidence-based radiography is radiography informed and based on the combination of clinical expertise and the best available research-based evidence, patient preferences and resources available. In Norway, EBP in radiography is being debated and radiographers are discussing the challenges of implementing EBP in both academic and clinical practice. This discussion paper explains why EBP needs to be a basis for a radiography curriculum and a part of radiographers' practice. We argue that Norwegian radiographers must increase participation in research and developing practice within their specific radiographic domain

Embodied Semantics 150 Years After Broca: Context-Dependent Negation in Novelistic Storytelling

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Anatole Pierre Fuksas

2013-08-01

Full Text Available The present study capitalizes on recent advances in neurophysiology concerning the involvement of the sensory-motor system in language recognition and understanding during reading and listening so as to explain the various roles played by negation in novelistic descriptions since the medieval origins of the genre. Textual evidence from a famous medieval verse novel, Chrétien de Troyes’ Chevalier de la Charrette, demonstrates that negation does not simply complicate the processing of a given description. Indeed, negative descriptions can be completely understood only if fully integrated in a complex context which entails the conceptual representation of the negated state of affairs.

Joint development of evidence-based medical record by doctors and patients through integrated Chinese and Western medicine on digestive system diseases.

Science.gov (United States)

Li, Bo; Gao, Hong-yang; Gao, Rui; Zhao, Ying-pan; Li, Qing-na; Zhao, Yang; Tang, Xu-dong; Shang, Hong-cai

2016-02-01

Building the clinical therapeutic evaluation system by combing the evaluation given by doctors and patients can form a more comprehensive and objective evaluation system. A literature search on the practice of evidence-based evaluation was conducted in key biomedical databases, i.e. PubMed, Excerpt Medica Database, China Biology Medicine disc and China National Knowledge Infrastructure. However, no relevant study on the subjects of interest was identified. Therefore, drawing on the principles of narrative medicine and expert opinion from systems of Chinese medicine and Western medicine, we propose to develop and pilot-test a novel evidence-based medical record format that captures the perspectives of both patients and doctors in a clinical trial. Further, we seek to evaluate a strategic therapeutic approach that integrates the wisdom of Chinese medicine with the scientific basis of Western medicine in the treatment of digestive system disorders. Evaluation of therapeutic efficacy of remedies under the system of Chinese medicine is an imperative ongoing research. The present study intends to identify a novel approach to assess the synergistic benefits achievable from an integrated therapeutic approach combining Chinese and Western system of medicine to treat digestive system disorders.

Unit and integration testing of Lustre programs: a case study from the nuclear industry

International Nuclear Information System (INIS)

Thevenod-Fosse, P.

1998-01-01

LUSTRE belongs to the class of synchronous data flow languages which have been designed for programming reactive and real-time systems having safety-critical requirements. It is implemented in the SCADE tool. SCADE is a software development environment for real-time systems which consists of a graphical and textual editor, and a C code generator. In previous work, a testing approach specific to LUSTRE programs has been defined, which may be applied at either the unit or integration testing levels of a gradual testing process. The paper reports on an industrial case study we have performed to exemplify the feasibility of the testing strategy. The software module, called SRIC (Source Range Instrumentation channel), was developed by SCHNEIDER ELECTRIC in the SCADE environment. SRIC is extracted from a monitoring software system of a nuclear reactor: it approximates 2600 lines of C code automatically generated by SCADE. Section 2 outlines the testing strategy. Then, Section 3 presents the results related to the program SRIC, for which four testing levels were defined (unit testing followed by three successive integration testing levels). First conclusions and direction for future work are proposed in Section 4. (author)

A tradução comentada em contexto acadêmico: refl exões iniciais e exemplos de um gênero textual em construção

OpenAIRE

Adriana Zavaglia; Carla M. C. Renard; Christine Janczur

2015-01-01

O presente artigo propõe contribuir, numa espécie de hermenêutica da práxis, para um entendimento inicial, nos Estudos da Tradução, do gênero textual tradução comentada – pouco discutido, porém muito frequente – no âmbito acadêmico, mais especifi camente, no contexto de trabalho de conclusão de mestrado. Para tanto, apresentaremos exemplos de duas dissertações, a primeira discutindo uma tradução com notas e a segunda uma tradução com comentários, ambas do francês para o português brasil...

A Contrastive Analysis of the Links of Textuality in Abstracts Written by Persian and English Writers in Clinical Psychology Journals

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Abbas Mehrabi Boshrabadi

2014-07-01

Full Text Available It is generally agreed today that lexical cohesion is one of the fundamental elements of the text texture achieved through lexical semantic relations dominating the arrangement of propositional units in a text. Accordingly, this study sought to compare and contrast the textual links or lexical cohesive devices enlisted in the psychological abstracts written by Persian and English writers. To this end, 40 abstracts from Persian and English articles, 20 in each language, published in clinical psychology journals were randomly selected. The framework serving as tertium comprationis for analyzing lexical cohesion markers was derived from Halliday and Hasan’s (1976 model [Halliday, M. A. K., & Hasan, R. (1976. Cohesion in English. London: Longman]. A frequency count analysis was employed to gauge the number of occurrences of cohesive links in the selected corpus. The results revealed that lexical links of synonymy and repetition were more frequent than other cohesive devices in both English and Persian abstracts.

Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness: A Mapping Review of the Recent Evidence on Barriers, Facilitators and Evaluations.

Science.gov (United States)

Rodgers, Mark; Dalton, Jane; Harden, Melissa; Street, Andrew; Parker, Gillian; Eastwood, Alison

2018-01-25

People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI). We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.

Integrated Care to Address the Physical Health Needs of People with Severe Mental Illness: A Mapping Review of the Recent Evidence on Barriers, Facilitators and Evaluations

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Mark Rodgers

2018-01-01

Full Text Available People with mental health conditions have a lower life expectancy and poorer physical health outcomes than the general population. Evidence suggests this is due to a combination of clinical risk factors, socioeconomic factors, and health system factors, notably a lack of integration when care is required across service settings. Several recent reports have looked at ways to better integrate physical and mental health care for people with severe mental illness (SMI. We built on these by conducting a mapping review that looked for the most recent evidence and service models in this area. This involved searching the published literature and speaking to people involved in providing or using current services. Few of the identified service models were described adequately and fewer still were evaluated, raising questions about the replicability and generalisability of much of the existing evidence. However, some common themes did emerge. Efforts to improve the physical health care of people with SMI should empower staff and service users and help remove everyday barriers to delivering and accessing integrated care. In particular, there is a need for improved communication among professionals and better information technology to support them, greater clarity about who is responsible and accountable for physical health care, and greater awareness of the effects of stigmatisation on the wider culture and environment in which services are delivered.

Requirements for data integration platforms in biomedical research networks: a reference model.

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Ganzinger, Matthias; Knaup, Petra

2015-01-01

Biomedical research networks need to integrate research data among their members and with external partners. To support such data sharing activities, an adequate information technology infrastructure is necessary. To facilitate the establishment of such an infrastructure, we developed a reference model for the requirements. The reference model consists of five reference goals and 15 reference requirements. Using the Unified Modeling Language, the goals and requirements are set into relation to each other. In addition, all goals and requirements are described textually in tables. This reference model can be used by research networks as a basis for a resource efficient acquisition of their project specific requirements. Furthermore, a concrete instance of the reference model is described for a research network on liver cancer. The reference model is transferred into a requirements model of the specific network. Based on this concrete requirements model, a service-oriented information technology architecture is derived and also described in this paper.

Evidence-based hypnotherapy for depression.

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Alladin, Assen

2010-04-01

Cognitive hypnotherapy (CH) is a comprehensive evidence-based hypnotherapy for clinical depression. This article describes the major components of CH, which integrate hypnosis with cognitive-behavior therapy as the latter provides an effective host theory for the assimilation of empirically supported treatment techniques derived from various theoretical models of psychotherapy and psychopathology. CH meets criteria for an assimilative model of psychotherapy, which is considered to be an efficacious model of psychotherapy integration. The major components of CH for depression are described in sufficient detail to allow replication, verification, and validation of the techniques delineated. CH for depression provides a template that clinicians and investigators can utilize to study the additive effects of hypnosis in the management of other psychological or medical disorders. Evidence-based hypnotherapy and research are encouraged; such a movement is necessary if clinical hypnosis is to integrate into mainstream psychotherapy.

Evidence - based medicine/practice in sports physical therapy.

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Manske, Robert C; Lehecka, B J

2012-10-01

A push for the use of evidence-based medicine and evidence-based practice patterns has permeated most health care disciplines. The use of evidence-based practice in sports physical therapy may improve health care quality, reduce medical errors, help balance known benefits and risks, challenge views based on beliefs rather than evidence, and help to integrate patient preferences into decision-making. In this era of health care utilization sports physical therapists are expected to integrate clinical experience with conscientious, explicit, and judicious use of research evidence in order to make clearly informed decisions in order to help maximize and optimize patient well-being. One of the more common reasons for not using evidence in clinical practice is the perceived lack of skills and knowledge when searching for or appraising research. This clinical commentary was developed to educate the readership on what constitutes evidence-based practice, and strategies used to seek evidence in the daily clinical practice of sports physical therapy.

Cassius Longinus, fr. 42.75 P.-B. A grammarian called Odysseus or a textual error?: a proposal for correction

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Javier Verdejo Manchado

2016-12-01

Full Text Available The 3th century grammarian Cassius Longinus in his introduction to the commentary to Hephaestion’s On Metre (Ἐγχειρίδιον περὶ μέτρων mentions a writer on meter named Odysseus (Ὀδυσσεὺς ὁ μετρικός, who is not known in any other source. This paper aims to identify this author and give a satisfactory explanation to his mention by Longinus. However, the peculiarity of the name, which is not attested as anthroponym out of the epic genre, and its notice in Longinus, who in his commentary only quotes technical authors used as direct sources, have led us to propose a textual correction, Διονύσιος ὁ μουσικός, which, as I shall try to prove, is paleographically plausible and consistent from the point of view of the identification.

Phrase Mining of Textual Data to Analyze Extracellular Matrix Protein Patterns Across Cardiovascular Disease.

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Liem, David Alexandre; Murali, Sanjana; Sigdel, Dibakar; Shi, Yu; Wang, Xuan; Shen, Jiaming; Choi, Howard; Caufield, J Harry; Wang, Wei; Ping, Peipei; Han, Jiawei

2018-05-18

Extracellular matrix (ECM) proteins have been shown to play important roles regulating multiple biological processes in an array of organ systems, including the cardiovascular system. By using a novel bioinformatics text-mining tool, we studied six categories of cardiovascular disease (CVD), namely ischemic heart disease (IHD), cardiomyopathies (CM), cerebrovascular accident (CVA), congenital heart disease (CHD), arrhythmias (ARR), and valve disease (VD), anticipating novel ECM protein-disease and protein-protein relationships hidden within vast quantities of textual data. We conducted a phrase-mining analysis, delineating the relationships of 709 ECM proteins with the six groups of CVDs reported in 1,099,254 abstracts. The technology pipeline known as Context-aware Semantic Online Analytical Processing (CaseOLAP) was applied to semantically rank the association of proteins to each and all six CVDs, performing analyses to quantify each protein-disease relationship. We performed principal component analysis and hierarchical clustering of the data, where each protein is visualized as a six dimensional vector. We found that ECM proteins display variable degrees of association with the six CVDs; certain CVDs share groups of associated proteins whereas others have divergent protein associations. We identified 82 ECM proteins sharing associations with all six CVDs. Our bioinformatics analysis ascribed distinct ECM pathways (via Reactome) from this subset of proteins, namely insulin-like growth factor regulation and interleukin-4 and interleukin-13 signaling, suggesting their contribution to the pathogenesis of all six CVDs. Finally, we performed hierarchical clustering analysis and identified protein clusters associated with a targeted CVD; analyses revealed unexpected insights underlying ECM-pathogenesis of CVDs.

Automating generation of textual class definitions from OWL to English.

Science.gov (United States)

Stevens, Robert; Malone, James; Williams, Sandra; Power, Richard; Third, Allan

2011-05-17

developers of EFO are sufficiently satisfied with the output that the generated definitions have been incorporated into EFO. Whilst not a substitute for hand-written textual definitions, our generated definitions are a useful starting point. An on-line version of the NLG text definition tool can be found at http://swat.open.ac.uk/tools/. The questionaire and sample generated text definitions may be found at http://mcs.open.ac.uk/nlg/SWAT/bio-ontologies.html.

Development of the GREEN (Garden Resources, Education, and Environment Nexus) Tool: An Evidence-Based Model for School Garden Integration.

Science.gov (United States)

Burt, Kate Gardner; Koch, Pamela; Contento, Isobel

2017-10-01

operationalize school gardening components and describe an evidence-based strategy of successful school garden integration. Copyright © 2017 Academy of Nutrition and Dietetics. Published by Elsevier Inc. All rights reserved.

Empirical methods for systematic reviews and evidence-based medicine

NARCIS (Netherlands)

van Enst, W.A.

2014-01-01

Evidence-Based Medicine is the integration of best research evidence with clinical expertise and patient values. Systematic reviews have become the cornerstone of evidence-based medicine, which is reflected in the position systematic reviews have in the pyramid of evidence-based medicine. Systematic

Interaction and Representational Integration: Evidence from Speech Errors

Science.gov (United States)

Goldrick, Matthew; Baker, H. Ross; Murphy, Amanda; Baese-Berk, Melissa

2011-01-01

We examine the mechanisms that support interaction between lexical, phonological and phonetic processes during language production. Studies of the phonetics of speech errors have provided evidence that partially activated lexical and phonological representations influence phonetic processing. We examine how these interactive effects are modulated…

Emotional Intensity Modulates the Integration of Bimodal Angry Expressions: ERP Evidence

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Zhihui Pan

2017-06-01

Full Text Available Integration of information from face and voice plays a central role in social interactions. The present study investigated the modulation of emotional intensity on the integration of facial-vocal emotional cues by recording EEG for participants while they were performing emotion identification task on facial, vocal, and bimodal angry expressions varying in emotional intensity. Behavioral results showed the rates of anger and reaction speed increased as emotional intensity across modalities. Critically, the P2 amplitudes were larger for bimodal expressions than for the sum of facial and vocal expressions for low emotional intensity stimuli, but not for middle and high emotional intensity stimuli. These findings suggested that emotional intensity modulates the integration of facial-vocal angry expressions, following the principle of Inverse Effectiveness (IE in multimodal sensory integration.

The financial crisis and the European Parliament: An analysis of the Two-Pack legislation.

Science.gov (United States)

Roger, Léa; Otjes, Simon; van der Veer, Harmen

2017-12-01

The left-right line of conflict has been the dominant dimension of decision-making in the European Parliament since 1979. A pro-/anti-European Union integration dimension is of secondary importance. Limited evidence exists on the conditions under which these different dimensions matter. This study examines parliamentary decision-making about the so-called Two-Pack, which moved responsibilities about budgetary decision-making to the European Commission. The article uses in-depth interviews, textual analysis of committee debates and roll call voting analysis in order to determine which lines of conflict matter at which stage of decision-making. The evidence indicates that left-right division is dominant in the informal stage preceding committee debates, while both the pro-/anti-European Union and the left/right dimensions matter during the committee stage, whereas for plenary votes, the pro-/anti-European Union dimension is crucial.

Evidence-Based Psychological Assessment.

Science.gov (United States)

Bornstein, Robert F

2017-01-01

In recent years there has been increasing emphasis on evidence-based practice in psychology (EBPP), and as is true in most health care professions, the primary focus of EBPP has been on treatment. Comparatively little attention has been devoted to applying the principles of EBPP to psychological assessment, despite the fact that assessment plays a central role in myriad domains of empirical and applied psychology (e.g., research, forensics, behavioral health, risk management, diagnosis and classification in mental health settings, documentation of neuropsychological impairment and recovery, personnel selection and placement in organizational contexts). This article outlines the central elements of evidence-based psychological assessment (EBPA), using the American Psychological Association's tripartite definition of EBPP as integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences. After discussing strategies for conceptualizing and operationalizing evidence-based testing and evidence-based assessment, 6 core skills and 3 meta-skills that underlie proficiency in psychological assessment are described. The integration of patient characteristics, culture, and preferences is discussed in terms of the complex interaction of patient and assessor identities and values throughout the assessment process. A preliminary framework for implementing EBPA is offered, and avenues for continued refinement and growth are described.

O cinema na disciplina leitura e produção textual: a motivação do audiovisual na construção do texto no curso de Direito

OpenAIRE

Collaço, Gabriel Henrique

2010-01-01

O presente artigo apresenta o relato da experiência do uso do cinema em sala de aula presencial como recurso didático. A estratégia integra o plano de técnicas criativas da disciplina Leitura e Produção Textual para a construção do texto no curso de Direito. O objetivo é mostrar como acontece o trabalho com o uso do cinema para o aprimoramento dos mecanismos sensoriais nos acadêmicos participantes e mudanças na redação de textos jurídicos e, ainda, apresentar estratégias aos professores que d...

Aproximación cultural y textual a los informes médico forenses en la traducción especializada francés/español

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Françoise Olmo Cazevieille

2015-12-01

Full Text Available En el ámbito de la traducción judicial francés-español, los informes forenses se han estudiado muy poco por ser documentos confidenciales de acceso limitado. No obstante, su estudio resulta de gran interés para los profesionales de la traducción especializada pues están relacionados con varias disciplinas, entre otras, el derecho y la medicina. Para caracterizarlos mejor, estudiaremos el contexto cultural de estos documentos, comprobaremos las variaciones en cuanto a su denominación en las dos lenguas y analizaremos su macroestructura mediante un estudio contrastivo de documentos originales para aportar datos que caractericen este género textual y su tipología en Francia y en España.

Integrating critical thinking and evidence-based dentistry across a four-year dental curriculum: a model for independent learning.

Science.gov (United States)

Marshall, Teresa A; Straub-Morarend, Cheryl L; Handoo, Nidhi; Solow, Catherine M; Cunningham-Ford, Marsha A; Finkelstein, Michael W

2014-03-01

Introducing critical thinking and evidence-based dentistry (EBD) content into an established dental curriculum can be a difficult and challenging process. Over the past three years, the University of Iowa College of Dentistry has developed and implemented a progressive four-year integrated critical thinking and EBD curriculum. The objective of this article is to describe the development and implementation process to make it available as a model for other dental schools contemplating introduction of critical thinking and EBD into their curricula. The newly designed curriculum built upon an existing problem-based learning foundation, which introduces critical thinking and the scientific literature in the D1 year, in order to expose students to the rationale and resources for practicing EBD in the D2 and D3 years and provide opportunities to practice critical thinking and apply the EBD five-step process in the D2, D3, and D4 years. All curricular content is online, and D3 and D4 EBD activities are integrated within existing clinical responsibilities. The curricular content, student resources, and student activities are described.

Spiritual Teachings: Unvarying and Varying Features. The Evidence of the Epistle of the Monk Jakov to the Prince Dmitrij Borisovič

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Francesca Romoli

2016-02-01

Full Text Available The article focuses on the Epistle of the Monk Jakov to the Prince Dmitrij Borisovič (Poslanie Jakova-černorizca k knjazju Dmitriju Borisoviču, an East-Slavic text dating from the second half of the 13th century. The author aims to further investigate the hypothesis concerning the literary form used for spiritual teachings. As she demonstrated in previous articles, the Teaching to the Spiritual Son (Poučenie k duchovnomu čadu by Georgij Zarubskij, the Epistle to Vladimir Monomach on Fasting (Poslanie Vladimiru Monomachu o poste by mitropolit Nikifor I and the Epistle to Vladimir Monomach (Poslanie k Vladimiru Monomachu by bishop Daniil (all texts possibly dating from the 12th century belong to this literary genre. Here she assumes that these texts each represent a different textual sub-type. Textual analysis based on the functions of biblical quotations, together with data concerning the structure of the text, the social status and the cultural level of the sender and the addressee, allow the author to establish that Jakov’s Epistle belongs to the same textual sub-type represented by Georgij Zarubskij’s Teaching.

Socrus non socra (App. Pr. 170. The Hispanic Epigraphic Dossier

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Juan Manuel Abascal Palazón

2015-12-01

Full Text Available The use of socra instead of socrus is common in the Latin epigraphy of the Principate. In the whole Roman Empire, textual evidences of socra/socera surpass the testimonies of socrus. In the light of the expression socrus non socra collected in the Appendix Probi, are discussed the five testimonies of the word socra known today in the Roman inscriptions of the Iberian Peninsula. The article includes a textual correction of a Roman stela from Campo Arcís (Requena, Valencia. Hispania citerior.

Professional Development for Sessional Staff in Higher Education: A Review of Current Evidence

Science.gov (United States)

Hitch, Danielle; Mahoney, Paige; Macfarlane, Susie

2018-01-01

The aim of this study was to provide an integrated review of evidence published in the past decade around professional development for sessional staff in higher education. Using the Integrating Theory, Evidence and Action method, the review analysed recent evidence using the three principles of the Benchmarking Leadership and Advancement of…

Evidence synthesis software.

Science.gov (United States)

Park, Sophie Elizabeth; Thomas, James

2018-06-07

It can be challenging to decide which evidence synthesis software to choose when doing a systematic review. This article discusses some of the important questions to consider in relation to the chosen method and synthesis approach. Software can support researchers in a range of ways. Here, a range of review conditions and software solutions. For example, facilitating contemporaneous collaboration across time and geographical space; in-built bias assessment tools; and line-by-line coding for qualitative textual analysis. EPPI-Reviewer is a review software for research synthesis managed by the EPPI-centre, UCL Institute of Education. EPPI-Reviewer has text mining automation technologies. Version 5 supports data sharing and re-use across the systematic review community. Open source software will soon be released. EPPI-Centre will continue to offer the software as a cloud-based service. The software is offered via a subscription with a one-month (extendible) trial available and volume discounts for 'site licences'. It is free to use for Cochrane and Campbell reviews. The next EPPI-Reviewer version is being built in collaboration with National Institute for Health and Care Excellence using 'surveillance' of newly published research to support 'living' iterative reviews. This is achieved using a combination of machine learning and traditional information retrieval technologies to identify the type of research each new publication describes and determine its relevance for a particular review, domain or guideline. While the amount of available knowledge and research is constantly increasing, the ways in which software can support the focus and relevance of data identification are also developing fast. Software advances are maximising the opportunities for the production of relevant and timely reviews. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise

Efficacy and Cost-Effectiveness Analysis of Evidence-Based Nursing Interventions to Maintain Tissue Integrity to Prevent Pressure Ulcers and Incontinence-Associated Dermatitis.

Science.gov (United States)

Avşar, Pınar; Karadağ, Ayişe

2018-02-01

A reduction in tissue tolerance promotes the development of pressure ulcers (PUs) and incontinence-associated dermatitis (IAD). To determine the cost-effectiveness and efficacy of evidence-based (EB) nursing interventions on increasing tissue tolerance by maintaining tissue integrity. The study involved 154 patients in two intensive care units (77 patients, control group; 77 patients, intervention group). Data were collected using the following: patient characteristics form, Braden PU risk assessment scale, tissue integrity monitoring form, PU identification form, IAD and severity scale, and a cost table of the interventions. Patients in the intervention group were cared for by nurses trained in the use of the data collection tools and in EB practices to improve tissue tolerance. Routine nursing care was given to the patients in the control group. The researcher observed all patients in terms of tissue integrity and recorded the care-related costs. Deterioration of tissue integrity was observed in 18.2% patients in the intervention group compared to 54.5% in the control group (p cost to increase tissue tolerance prevention in the intervention and control groups was X¯ = $204.34 ± 41.07 and X¯ = $138.90 ± 1.70, respectively. It is recommended that EB policies and procedures are developed to improve tissue tolerance by maintaining tissue integrity. Although the cost of EB preventive initiatives is relatively high compared to those that are not EB, the former provide a significant reduction in the prevalence of tissue integrity deterioration. © 2017 Sigma Theta Tau International.

History of evidence-based medicine

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Roger L Sur

2011-01-01

Full Text Available This essay reviews the historical circumstances surrounding the introduction and evolution of evidence-based medicine. Criticisms of the approach are also considered. Weaknesses of existing standards of clinical practice and efforts to bring more certainty to clinical decision making were the foundation for evidence-based medicine, which integrates epidemiology and medical research. Because of its utility in designing randomized clinical trials, assessing the quality of the literature, and applying medical research at the bedside, evidence-based medicine will continue to have a strong influence on everyday clinical practice.

Fostering integrity in postgraduate research: an evidence-based policy and support framework.

Science.gov (United States)

Mahmud, Saadia; Bretag, Tracey

2014-01-01

Postgraduate research students have a unique position in the debate on integrity in research as students and novice researchers. To assess how far policies for integrity in postgraduate research meet the needs of students as "research trainees," we reviewed online policies for integrity in postgraduate research at nine particular Australian universities against the Australian Code for Responsible Conduct of Research (the Code) and the five core elements of exemplary academic integrity policy identified by Bretag et al. (2011 ), i.e., access, approach, responsibility, detail, and support. We found inconsistency with the Code in the definition of research misconduct and a lack of adequate detail and support. Based on our analysis, previous research, and the literature, we propose a framework for policy and support for postgraduate research that encompasses a consistent and educative approach to integrity maintained across the university at all levels of scholarship and for all stakeholders.

Information literacy as the foundation for evidence-based practice in graduate nursing education: a curriculum-integrated approach.

Science.gov (United States)

Jacobs, Susan Kaplan; Rosenfeld, Peri; Haber, Judith

2003-01-01

As part of a system-wide initiative to advance evidence-based practice among clinicians, graduate students, and educators, the New York University Division of Nursing embarked on a curricular initiative to integrate components of information literacy in all core courses of the master's program. Increasing competency in information literacy is the foundation for evidence-based practice and provides nursing professionals with the skills to be literate consumers of information in an electronic environment. Competency in information literacy includes an understanding of the architecture of information and the scholarly process; the ability to navigate among a variety of print and electronic tools to effectively access, search, and critically evaluate appropriate resources; synthesize accumulated information into an existing body of knowledge; communicate research results clearly and effectively; and appreciate the social issues and ethical concerns related to the provision, dissemination, and sharing of information. In collaboration with the New York University Division of Libraries' Health Sciences Librarian, instructional modules in information literacy relevant to each of the 5 core nursing master's courses were developed, complemented by a Web-based tutorial: http://library.nyu.edu/research/health/tutorial. The Web site is multifaceted, with fundamentals for the beginner, as well as more complex content for the advanced user. Course assignments were designed to promote specific competencies in information literacy and strategies for evaluating the strength of the evidence found. A survey of information literacy competencies, which assessed students' knowledge, misconceptions, and use of electronic information resources, was administered when students entered the program and at 1-year intervals thereafter.

Corporate Culture Assessments in Integrative Oncology: A Qualitative Case Study of Two Integrative Oncology Centers

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Nadine Mittring

2013-01-01

Full Text Available The offer of “integrative oncology” is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type (“best of both worlds” and “linking”. Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

Corporate culture assessments in integrative oncology: a qualitative case study of two integrative oncology centers.

Science.gov (United States)

Mittring, Nadine; Pérard, Marion; Witt, Claudia M

2013-01-01

The offer of "integrative oncology" is one option for clinics to provide safe and evidence-based complementary medicine treatments to cancer patients. As known from merger theories, corporate culture and integration models have a strong influence on the success of such integration. To identify relevant corporate culture aspects that might influence the success in two highly visible integrative oncology clinics, we interviewed physicians, nurses, practitioners, and managers. All interviews (11 in a German breast cancer clinic and 9 in an integrative medicine cancer service in the USA) were audio-recorded, transcribed and analyzed with content analysis. According to the theoretical framework of mergers, each clinic selected a different integration type ("best of both worlds" and "linking"). Nonetheless, each developed a similar corporate culture that has a strong focus on research and safe and evidence-based treatments, and fosters a holistic and patient-centered approach. Structured communication within the team and with other departments had high relevance. Research was highlighted as a way to open doors and to facilitate a more general acceptance within the hospital. Conventional physicians felt unburdened by the provision of integrative medicine service but also saw problems in the time required for scheduled treatments, which often resulted in long waiting lists.

Diferencias en la estructura textual del japonés y el español: su influencia en la traducción (Differences on Japanese and Spanish text structure: Its influence on translation)

OpenAIRE

Juan Luis Perelló Enrich

2010-01-01

En el siguiente artículo se intenta explicar la influencia en el proceso de traducción que ejercen las diferentes estructuras textuales del japonés y el español, mediante la comparación y análisis de textos en términos de coherencia, cohesión y estructura temática. Dicho ejercicio servirá para identificar y ejemplificar distintas tendencias entre ambas lenguas, lo que esperamos contribuirá a mejorar la calidad de las traducciones. (The following article deals with the differences between Japa...

Topic structure affects semantic integration: evidence from event-related potentials.

Science.gov (United States)

Yang, Xiaohong; Chen, Xuhai; Chen, Shuang; Xu, Xiaoying; Yang, Yufang

2013-01-01

This study investigated whether semantic integration in discourse context could be influenced by topic structure using event-related brain potentials. Participants read discourses in which the last sentence contained a critical word that was either congruent or incongruent with the topic established in the first sentence. The intervening sentences between the first and the last sentence of the discourse either maintained or shifted the original topic. Results showed that incongruent words in topic-maintained discourses elicited an N400 effect that was broadly distributed over the scalp while those in topic-shifted discourses elicited an N400 effect that was lateralized to the right hemisphere and localized over central and posterior areas. Moreover, a late positivity effect was only elicited by incongruent words in topic-shifted discourses, but not in topic-maintained discourses. This suggests an important role for discourse structure in semantic integration, such that compared with topic-maintained discourses, the complexity of discourse structure in topic-shifted condition reduces the initial stage of semantic integration and enhances the later stage in which a mental representation is updated.

The effectiveness of a clinically integrated e-learning course in evidence-based medicine: A cluster randomised controlled trial

Directory of Open Access Journals (Sweden)

Arvanitis Theodoros N

2009-05-01

Full Text Available Abstract Background To evaluate the educational effects of a clinically integrated e-learning course for teaching basic evidence-based medicine (EBM among postgraduates compared to a traditional lecture-based course of equivalent content. Methods We conducted a cluster randomised controlled trial in the Netherlands and the UK involving postgraduate trainees in six obstetrics and gynaecology departments. Outcomes (knowledge gain and change in attitude towards EBM were compared between the clinically integrated e-learning course (intervention and the traditional lecture based course (control. We measured change from pre- to post-intervention scores using a validated questionnaire assessing knowledge (primary outcome and attitudes (secondary outcome. Results There were six clusters involving teaching of 61 postgraduate trainees (28 in the intervention and 33 in the control group. The intervention group achieved slightly higher scores for knowledge gain compared to the control, but these results were not statistically significant (difference in knowledge gain: 3.5 points, 95% CI -2.7 to 9.8, p = 0.27. The attitudinal changes were similar for both groups. Conclusion A clinically integrated e-learning course was at least as effective as a traditional lecture based course and was well accepted. Being less costly than traditional teaching and allowing for more independent learning through materials that can be easily updated, there is a place for incorporating e-learning into postgraduate EBM curricula that offer on-the-job training for just-in-time learning. Trial registration Trial registration number: ACTRN12609000022268.

Evidence Integration in Natural Acoustic Textures during Active and Passive Listening.

Science.gov (United States)

Górska, Urszula; Rupp, Andre; Boubenec, Yves; Celikel, Tansu; Englitz, Bernhard

2018-01-01

Many natural sounds can be well described on a statistical level, for example, wind, rain, or applause. Even though the spectro-temporal profile of these acoustic textures is highly dynamic, changes in their statistics are indicative of relevant changes in the environment. Here, we investigated the neural representation of change detection in natural textures in humans, and specifically addressed whether active task engagement is required for the neural representation of this change in statistics. Subjects listened to natural textures whose spectro-temporal statistics were modified at variable times by a variable amount. Subjects were instructed to either report the detection of changes (active) or to passively listen to the stimuli. A subset of passive subjects had performed the active task before (passive-aware vs passive-naive). Psychophysically, longer exposure to pre-change statistics was correlated with faster reaction times and better discrimination performance. EEG recordings revealed that the build-up rate and size of parieto-occipital (PO) potentials reflected change size and change time. Reduced effects were observed in the passive conditions. While P2 responses were comparable across conditions, slope and height of PO potentials scaled with task involvement. Neural source localization identified a parietal source as the main contributor of change-specific potentials, in addition to more limited contributions from auditory and frontal sources. In summary, the detection of statistical changes in natural acoustic textures is predominantly reflected in parietal locations both on the skull and source level. The scaling in magnitude across different levels of task involvement suggests a context-dependent degree of evidence integration.

Evidence-based Paradigm In Orthodontics | Ajayi | Nigerian ...

African Journals Online (AJOL)

The need to integrate the accrued scientific evidence into clinical orthodontic practice is amongst the challenges facing orthodontists in the 21st century. The evidence-based health care approach aims to improve patient care based upon informed decision-making. This article therefore highlights the importance and ...

Interaction and representational integration: Evidence from speech errors

OpenAIRE

Goldrick, Matthew; Baker, H. Ross; Murphy, Amanda; Baese-Berk, Melissa

2011-01-01

We examine the mechanisms that support interaction between lexical, phonological and phonetic processes during language production. Studies of the phonetics of speech errors have provided evidence that partially activated lexical and phonological representations influence phonetic processing. We examine how these interactive effects are modulated by lexical frequency. Previous research has demonstrated that during lexical access, the processing of high frequency words is facilitated; in contr...

Antipsychotic discontinuation syndromes: a narrative review of the evidence and its integration into Australian mental health nursing textbooks.

Science.gov (United States)

Salomon, Carmela; Hamilton, Bridget

2014-02-01

In light of the high number of people discontinuing antipsychotics each year, it is essential that nurses develop a robust understanding of all aspects of the discontinuation experience. While there is a large body of published work documenting post-discontinuation relapse rates, less is known about other aspects of the discontinuation experience. This paper presents the results of a narrative review of international studies of antipsychotic discontinuation syndromes and their relevance to nursing practice. Four key mental health nursing textbooks used in student nurse education in Australia are examined to assess how this evidence has been incorporated into clinical recommendations. This review finds that the evidence for discontinuation syndromes could be more widely disseminated and applied than it is at present. Strikingly, this evidence has not been incorporated into key mental health nursing textbooks in Australia at all. Slow integration into nursing published work may be influenced by a number of clinical and research uncertainties. We consider the impact of this silence on key nursing roles of psycho-education and adverse event monitoring during antipsychotic discontinuation periods. Further robust research should be conducted into discontinuation syndromes as a matter of urgency. Given the high number of consumers potentially impacted upon by discontinuation syndromes, nurse authors and educators should consider revising key nursing textbooks to include the currently available information about discontinuation syndromes. © 2012 The Authors; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

Instruments Measuring Integrated Care: A Systematic Review of Measurement Properties.

Science.gov (United States)

Bautista, Mary Ann C; Nurjono, Milawaty; Lim, Yee Wei; Dessers, Ezra; Vrijhoef, Hubertus Jm

2016-12-01

Policy Points: Investigations on systematic methodologies for measuring integrated care should coincide with the growing interest in this field of research. A systematic review of instruments provides insights into integrated care measurement, including setting the research agenda for validating available instruments and informing the decision to develop new ones. This study is the first systematic review of instruments measuring integrated care with an evidence synthesis of the measurement properties. We found 209 index instruments measuring different constructs related to integrated care; the strength of evidence on the adequacy of the majority of their measurement properties remained largely unassessed. Integrated care is an important strategy for increasing health system performance. Despite its growing significance, detailed evidence on the measurement properties of integrated care instruments remains vague and limited. Our systematic review aims to provide evidence on the state of the art in measuring integrated care. Our comprehensive systematic review framework builds on the Rainbow Model for Integrated Care (RMIC). We searched MEDLINE/PubMed for published articles on the measurement properties of instruments measuring integrated care and identified eligible articles using a standard set of selection criteria. We assessed the methodological quality of every validation study reported using the COSMIN checklist and extracted data on study and instrument characteristics. We also evaluated the measurement properties of each examined instrument per validation study and provided a best evidence synthesis on the adequacy of measurement properties of the index instruments. From the 300 eligible articles, we assessed the methodological quality of 379 validation studies from which we identified 209 index instruments measuring integrated care constructs. The majority of studies reported on instruments measuring constructs related to care integration (33%) and patient

Instruments Measuring Integrated Care: A Systematic Review of Measurement Properties

Science.gov (United States)

BAUTISTA, MARY ANN C.; NURJONO, MILAWATY; DESSERS, EZRA; VRIJHOEF, HUBERTUS JM

2016-01-01

Policy Points: Investigations on systematic methodologies for measuring integrated care should coincide with the growing interest in this field of research.A systematic review of instruments provides insights into integrated care measurement, including setting the research agenda for validating available instruments and informing the decision to develop new ones.This study is the first systematic review of instruments measuring integrated care with an evidence synthesis of the measurement properties.We found 209 index instruments measuring different constructs related to integrated care; the strength of evidence on the adequacy of the majority of their measurement properties remained largely unassessed. Context Integrated care is an important strategy for increasing health system performance. Despite its growing significance, detailed evidence on the measurement properties of integrated care instruments remains vague and limited. Our systematic review aims to provide evidence on the state of the art in measuring integrated care. Methods Our comprehensive systematic review framework builds on the Rainbow Model for Integrated Care (RMIC). We searched MEDLINE/PubMed for published articles on the measurement properties of instruments measuring integrated care and identified eligible articles using a standard set of selection criteria. We assessed the methodological quality of every validation study reported using the COSMIN checklist and extracted data on study and instrument characteristics. We also evaluated the measurement properties of each examined instrument per validation study and provided a best evidence synthesis on the adequacy of measurement properties of the index instruments. Findings From the 300 eligible articles, we assessed the methodological quality of 379 validation studies from which we identified 209 index instruments measuring integrated care constructs. The majority of studies reported on instruments measuring constructs related to care

Sequential Modulations in a Combined Horizontal and Vertical Simon Task: Is There ERP Evidence for Feature Integration Effects?

Science.gov (United States)

Hoppe, Katharina; Küper, Kristina; Wascher, Edmund

2017-01-01

In the Simon task, participants respond faster when the task-irrelevant stimulus position and the response position are corresponding, for example on the same side, compared to when they have a non-corresponding relation. Interestingly, this Simon effect is reduced after non-corresponding trials. Such sequential effects can be explained in terms of a more focused processing of the relevant stimulus dimension due to increased cognitive control, which transfers from the previous non-corresponding trial (conflict adaptation effects). Alternatively, sequential modulations of the Simon effect can also be due to the degree of trial-to-trial repetitions and alternations of task features, which is confounded with the correspondence sequence (feature integration effects). In the present study, we used a spatially two-dimensional Simon task with vertical response keys to examine the contribution of adaptive cognitive control and feature integration processes to the sequential modulation of the Simon effect. The two-dimensional Simon task creates correspondences in the vertical as well as in the horizontal dimension. A trial-by-trial alternation of the spatial dimension, for example from a vertical to a horizontal stimulus presentation, generates a subset containing no complete repetitions of task features, but only complete alternations and partial repetitions, which are equally distributed over all correspondence sequences. In line with the assumed feature integration effects, we found sequential modulations of the Simon effect only when the spatial dimension repeated. At least for the horizontal dimension, this pattern was confirmed by the parietal P3b, an event-related potential that is assumed to reflect stimulus-response link processes. Contrary to conflict adaptation effects, cognitive control, measured by the fronto-central N2 component of the EEG, was not sequentially modulated. Overall, our data provide behavioral as well as electrophysiological evidence for feature

Integrative medicine approach to chronic pain.

Science.gov (United States)

Teets, Raymond Y; Dahmer, Stephen; Scott, Emilie

2010-06-01

Chronic pain can be a frustrating condition for patient and clinician. The integrative medicine approach to pain can offer hope, adding safe complementary and alternative medical (CAM) therapies to mitigate pain and suffering. Such CAM therapies include nutrition, supplements and herbs, manual medicine, acupuncture, yoga, and mind-body approaches. The evidence is heterogeneous regarding these approaches, but some evidence suggests efficacy and confirms safety. The integrative medicine approach can be beneficial in a patient with chronic pain. Copyright 2010 Elsevier Inc. All rights reserved.

Integrated care: theory to practice.

Science.gov (United States)

Stokes, Jonathan; Checkland, Kath; Kristensen, Søren Rud

2016-10-01

'Integrated care' is pitched as the solution to current health system challenges. In the literature, what integrated care actually involves is complex and contested. Multi-disciplinary team case management is frequently the primary focus of integrated care when implemented internationally. We examine the practical application of integrated care in the NHS in England to exemplify the prevalence of the case management focus. We look at the evidence for effectiveness of multi-disciplinary team case management, for the focus on high-risk groups and for integrated care more generally. We suggest realistic expectations of what integration of care alone can achieve and additional research questions. © The Author(s) 2016.

Análisis textual y representación de eventos sociales: una mirada a dos documentos de política educativa colombiana desde el análisis crítico del discurso* Textual analysis and representation of social events: a look at two documents of colombian educational policy from the point of view of critical discourse analysis

Directory of Open Access Journals (Sweden)

Doris Adriana Santos Caicedo

2008-12-01

Full Text Available A partir de una propuesta de trabajo en Fairclough (2003 para el análisis textual en la investigación social, se llevó a cabo el análisis de dos decretos promulgados por el Ministerio de Educación Nacional de Colombia en la etapa de contextualización de un estudio etnográfico crítico sobre las experiencias subjetivas acerca de la autonomía en los procesos de enseñanza-aprendizaje de un grupo de estudiantes, profesores y directivos universitarios colombianos. Se analizaron las escogencias léxicas para la representación de los actores y procesos sociales involucrados en estos decretos, así como el grado de abstracción o especificación de tales escogencias, entre otros aspectos. Algunos de los hallazgos se refieren a la ausencia del maestro (exclusión en el discurso por supresión así como la ratificación del estudiante como objeto y no sujeto de las acciones en el proceso educativo (predominio de la nominalización.Based on a work proposal found in Fairclough (2003 for the textual analysis in social investigation, this study deals with the analysis of two decrees issued by the Colombian National Ministry of Education during the stage of contextualization of a critical ethnographic study on the subjective experiences of the autonomy of the teaching and learning processes of a group of Colombian college students, professors and administrators. The study also looks both at the lexical choices in the representation of the actors and the social processes included in the decrees and at the level of abstraction or specification of such choices. Some of the findings show the absence of the professor (exclusion from the discourse by suppression as well as the ratification of the student as an object, not as a subject of the educational action (prevalence of nominalization.

Performance Sustainability and Integrated Reporting: Empirical Evidence from Mandatory and Voluntary Adoption Contexts

Directory of Open Access Journals (Sweden)

Salvatore Loprevite

2018-04-01

Full Text Available This paper looks at the topic of regulation of integrated reporting for listed companies, with the aim of contributing to the debate on the usefulness of introducing a mandatory regime, both from the perspective of integrated performance sustainability of companies and from that of relevance of information for providers of financial capital. The study is based on empirical research carried out on a sample composed of companies operating in territories where the adoption of integrated reporting is voluntary (Europe and those operating in a country where adoption is mandatory (South Africa. The research shows that (a in voluntary regimes, levels of integrated performance achieved by companies are higher; (b mandatory regulation produces positive effects on integrated performance levels in the medium term; (c integrated performance indicators are value-relevant, though having different levels of relevance under the two regimes examined.

TRENDS IN A SOUTH AFRICAN INDUSTRIAL ENGINEERING RESEARCH JOURNAL: A TEXTUAL INFORMATION ANALYSIS PERSPECTIVE

Directory of Open Access Journals (Sweden)

J.W. Uys

2012-01-01

Full Text Available

ENGLISH ABSTRACT: Industrial engineering (IE is a multi-disciplinary field, with its research borders broadening into a wide range of sub-disciplines. The South African Journal of Industrial Engineering (SAJIE has been the official voice of IE research in South Africa for the past 22 years. In the interests of evaluating research scope, it is worth determining how IE fields have been covered by this journal. What are the current topics in IE, and how do they align with IE publication trends in other countries? This article attempts to investigate these issues in an objective way by using a text analytical technique to analyse the SAJIE publication collection. Due to the growth in the quantity of accessible textual information, and the growing importance of this type of information to business people and industrial engineers alike, the relevant text analytical method is also outlined.

AFRIKAANSE OPSOMMING: Bedryfsingenieurswese is ’n multidissiplinêre veld, met navorsingsgrense wat strek oor ’n wye reeks sub-dissiplines. Die Suid-Afrikaanse Tydskrif vir Bedryfsingenieurswese (SAJIE was oor die afgelope 22 jaar die amptelike mondstuk vir bedryfsingenieurswese-gerigte navorsing in Suid-Afrika. Dit is betekenisvol om te bepaal in watter hoedanigheid bedryfsingenieurswesevelde deur die SAJIE gedek word, ten einde die bestek van navorsing te evalueer. Wat is die huidige temas van bedryfsingenieurswese, en hoe vergelyk dit met bedryfsingenieurswese-publikasieneigings in ander lande? Hierdie artikel poog om die vraagstuk op ’n objektiewe wyse na te vors deur die toepassing van ’n teksanalitiese tegniek om die SAJIE publikasie versameling te ontleed. Weens die toename in die hoeveelheid beskikbare tekstuele inligting, asook die toenemende belang van hierdie tipe inligting vir besigheidspersone asook bedryfsingenieurs, word die betrokke teksanalitiese metode ook bespreek.

Balbillus and the Method of aphesis

Directory of Open Access Journals (Sweden)

Martin Gansten

2012-11-01

Full Text Available The standard interpretation of two early horoscopes, attributed to Balbillus, can be corrected on the basis of both textual evidence and Balbillus’ astrological methods concerning the prediction of life-span.

Historical Business Cycles and Market Integration: Evidence from Comovement

NARCIS (Netherlands)

Uebele, Martin

2009-01-01

This thesis addresses historical business cycles and market integration in Europe and America in the 19th and 20th centuries. For the analysis of historical business cycles, the widely used methodology of historical national accounting is complemented with a dynamic factor model that allows for

HALLOWEEN, HISTÓRIAS DE BRUXAS E LENDAS BRASILEIRAS: UMA EXPERIÊNCIA DE LEITURA, PRODUÇÃO TEXTUAL E BRINCADEIRAS NA ESCOLA

Directory of Open Access Journals (Sweden)

Anilse Maria Picollo Borttolin

2016-03-01

Full Text Available Este trabalho pretende expor uma significativa prática de ensino realizada com os estudantes do ensino fundamental II, a partir de leitura de histórias sobre bruxas e lendas brasileiras; produção textual e brincadeiras; prática esta capaz de contribuir para disseminar uma cultura de cooperação entre eles e torná-los sujeitos participativos e capazes de reconhecer a sua importância na sociedade. Durante o percurso, observou-se que os estudantes conseguiram relacionar as histórias lidas, manifestando sentimentos, experiências, opiniões, definindo preferência e construindo critérios próprios para selecionar o que querem ler e, inclusive, produzindo os próprios textos e encaminhando-os aos colegas de outras séries na escola. A abordagem teórica vincula-se às reflexões de Bakhtin (2002 e (2003, Soares (2004, Pacheco (2004 e Perrone-Moisés (2003 e, levando em consideração, também, documentos educacionais, a exemplo dos PCNs (1997 e (1998.

Integrating mental health in primary healthcare in low-income countries

DEFF Research Database (Denmark)

Sørensen, Carina Winkler; Bæk, Ole; Kallestrup, Per

2017-01-01

. AIMS: This paper seeks to explore the rationale behind the WHO recommendations for improving mental health services in LICs. At the core of these recommendations is an integration of mental health services into existing primary healthcare. This article presents available research supporting...... from LICs that investigate mental health interventions is scarce. The evidence that does exist favours integration into primary healthcare. There is evidence that collaborative- and stepped-care interventions can provide viable treatment options for patients. CONCLUSION: Integration of mental health...... services into primary healthcare seems like a viable solution to ensure that treatment becomes more available, even though the evidence is limited. Locally conducted research is needed to guide the development of sustainable evidence-based mental health treatment, involving relevant healthcare providers...

Evidence of Processing Non-Idealities in 4H-SiC Integrated Circuits Fabricated with Two Levels of Metal Interconnect

Science.gov (United States)

Spry, David J.; Neudeck, Philip G.; Liangyu, Chen; Evans, Laura J.; Lukco, Dorothy; Chang, Carl W.; Beheim, Glenn M.

2015-01-01

The fabrication and prolonged 500 C electrical testing of 4H-SiC junction field effect transistor (JFET) integrated circuits (ICs) with two levels of metal interconnect is reported in another submission to this conference proceedings. While some circuits functioned more than 1000 hours at 500 C, the majority of packaged ICs from this wafer electrically failed after less than 200 hours of operation in the same test conditions. This work examines the root physical degradation and failure mechanisms believed responsible for observed large discrepancies in 500 C operating time. Evidence is presented for four distinct issues that significantly impacted 500 C IC operational yield and lifetime for this wafer.

Price convergence and market integration: evidence from Malaysia

OpenAIRE

Lee, Chin; Habibullah, Muzafar Shah

2008-01-01

The purpose of this study is to assess the markets integration within Malaysia by examine the price convergence across Peninsular Malaysia, Sabah and Sarawak. Disaggregate monthly price data for various types of goods or services in Peninsular Malaysia, Sabah and Sarawak were utilized. Levin and Lin (1993) panel unit root test was employed to test whether the price of various types of goods among 3 provinces/states in Malaysia are stationary. The result of panel unit roots test showed that in...

The Visuality, Embodiment and Gender Performance of Korean Pop: A Study on the Production, Consumption and Appropriation of the MVs of “Girls’ Generation”

Directory of Open Access Journals (Sweden)

Ming-Tsung Lee

2015-01-01

Full Text Available This paper tries to resolve the puzzle firstly: how can Korean pop (K-Pop become transbordering since Korean is not the main language in the world? It can be attributed to the policy input and capital integration, the textual circulation through emerging audio-video platform on-line, as well as the specific textual form with intensive visuality and embodiment. This paper applies not only traditionally visual-textual analysis but also the new methodology called “following the object” by the British sociologists Scott Lash and Celia Lury. The researcher regards K-Pop as an object of cross-cultural consumption and tracks its circulation from local production to “glocal” consumption. Through the interview to the K-Pop professionals, review of the relevant articles, textual analysis of the music videos and the ethnographic fieldwork of local fans community, this paper tries to answer the two questions: (1 how does K-Pop produce itself by the strategies of visualization and embodiment, as well as gendered performance; (2 how do the fans appropriate the K-Pop texts to re-perform and re-shape their gender identities in their everyday life.

Narrating practice: reflective accounts and the textual construction of reality.

Science.gov (United States)

Taylor, Carolyn

2003-05-01

Two approaches dominate current thinking in health and welfare: evidence-based practice and reflective practice. Whilst there is debate about the merits of evidence-based practice, reflective practice is generally accepted with critical debate as an important educational tool. Where critique does exist it tends to adopt a Foucauldian approach, focusing on the surveillance and self-regulatory aspects of reflective practice. This article acknowledges the critical purchase on the concept of reflective practice offered by Foucauldian approaches but argues that microsociological and discourse analytic approaches can further illuminate the subject and thus serve as a complement to them. The claims of proponents of reflective practice are explored, in opposition to the technical-rational approach of evidence-based practice. Reflective practice tends to adopt a naive or romantic realist position and fails to acknowledge the ways in which reflective accounts construct the world of practice. Microsociological approaches can help us to understand reflective accounts as examples of case-talk, constructed in a narrative form in the same way as case records and presentations.

Improving evidence based practice in postgraduate nursing programs: A systematic review: Bridging the evidence practice gap (BRIDGE project).

Science.gov (United States)

Hickman, Louise D; DiGiacomo, Michelle; Phillips, Jane; Rao, Angela; Newton, Phillip J; Jackson, Debra; Ferguson, Caleb

2018-04-01

The nursing profession has a significant evidence to practice gap in an increasingly complex and dynamic health care environment. To evaluate effectiveness of teaching and learning strategies related to a capstone project within a Masters of Nursing program that encourage the development of evidence based practice capabilities. Systematic review that conforms to the PRISMA statement. Master's Nursing programs that include elements of a capstone project within a university setting. MEDLINE, CINAHL, Cochrane Database of Systematic Reviews, ERIC and PsycInfo were used to search for RCT's or quasi experimental studies conducted between 1979 and 9 June 2017, published in a peer reviewed journal in English. Of 1592 studies, no RCT's specifically addressed the development of evidence based practice capabilities within the university teaching environment. Five quasi-experimental studies integrated blended learning, guided design processes, small group work, role play and structured debate into Masters of Nursing research courses. All five studies demonstrated some improvements in evidence based practice skills and/or research knowledge translation, with three out of five studies demonstrating significant improvements. There is a paucity of empirical evidence supporting the best strategies to use in developing evidence based practice skills and/or research knowledge translation skills for Master's Nursing students. As a profession, nursing requires methodologically robust studies that are discipline specific to identify the best approaches for developing evidence-based practice skills and/or research knowledge translation skills within the university teaching environment. Provision of these strategies will enable the nursing profession to integrate the best empirical evidence into nursing practice. Copyright © 2018. Published by Elsevier Ltd.

Evidence-Based Psychotherapy: Advantages and Challenges.

Science.gov (United States)

Cook, Sarah C; Schwartz, Ann C; Kaslow, Nadine J

2017-07-01

Evidence-based psychotherapies have been shown to be efficacious and cost-effective for a wide range of psychiatric conditions. Psychiatric disorders are prevalent worldwide and associated with high rates of disease burden, as well as elevated rates of co-occurrence with medical disorders, which has led to an increased focus on the need for evidence-based psychotherapies. This chapter focuses on the current state of evidence-based psychotherapy. The strengths and challenges of evidence-based psychotherapy are discussed, as well as misperceptions regarding the approach that may discourage and limit its use. In addition, we review various factors associated with the optimal implementation and application of evidence-based psychotherapies. Lastly, suggestions are provided on ways to advance the evidence-based psychotherapy movement to become truly integrated into practice.

Evidence based medical imaging (EBMI)

International Nuclear Information System (INIS)

Smith, Tony

2008-01-01

Background: The evidence based paradigm was first described about a decade ago. Previous authors have described a framework for the application of evidence based medicine which can be readily adapted to medical imaging practice. Purpose: This paper promotes the application of the evidence based framework in both the justification of the choice of examination type and the optimisation of the imaging technique used. Methods: The framework includes five integrated steps: framing a concise clinical question; searching for evidence to answer that question; critically appraising the evidence; applying the evidence in clinical practice; and, evaluating the use of revised practices. Results: This paper illustrates the use of the evidence based framework in medical imaging (that is, evidence based medical imaging) using the examples of two clinically relevant case studies. In doing so, a range of information technology and other resources available to medical imaging practitioners are identified with the intention of encouraging the application of the evidence based paradigm in radiography and radiology. Conclusion: There is a perceived need for radiographers and radiologists to make greater use of valid research evidence from the literature to inform their clinical practice and thus provide better quality services

Analogical reasoning and prefrontal cortex: evidence for separable retrieval and integration mechanisms.

Science.gov (United States)

Bunge, Silvia A; Wendelken, Carter; Badre, David; Wagner, Anthony D

2005-03-01

The present study examined the contributions of prefrontal cortex (PFC) subregions to two component processes underlying verbal analogical reasoning: semantic retrieval and integration. Event-related functional magnetic resonance imaging data were acquired while subjects performed propositional analogy and semantic decision tasks. On each trial, subjects viewed a pair of words (pair 1), followed by an instructional cue and a second word pair (pair 2). On analogy trials, subjects evaluated whether pair 2 was semantically analogous to pair 1. On semantic trials, subjects indicated whether the pair 2 words were semantically related to each other. Thus, analogy--but not semantic--trials required integration across multiple retrieved relations. To identify regions involved in semantic retrieval, we manipulated the associative strength of pair 1 words in both tasks. Anterior left inferior PFC (aLIPC) was modulated by associative strength, consistent with a role in controlled semantic retrieval. Left frontopolar cortex was insensitive to associative strength, but was more sensitive to integration demands than was aLIPC, consistent with a role in integrating the products of semantic retrieval to evaluate whether distinct representations are analogous. Right dorsolateral PFC exhibited a profile consistent with a role in response selection rather than retrieval or integration. These findings indicate that verbal analogical reasoning depends on multiple, PFC-mediated computations.

Teaching evidence-based medicine using a problem-oriented approach.

Science.gov (United States)

Hosny, Somaya; Ghaly, Mona S

2014-04-01

Faculty of Medicine, Suez Canal University is adopting an innovative curriculum. Evidence-based medicine (EBM) has been integrated into problem based learning (PBL) sessions as a responsive innovative paradigm for the practice and teaching of clinical medicine. To integrate EBM in the problem based sessions of the sixth-year students, and to assess students' and tutor satisfaction with this change. EBM training was conducted for sixth-year students (196) including four theoretical, and eight practical sessions. Sixteen EBM educational scenarios (problems) were formulated, according to sixth-year curriculum. Each problem was discussed in two sessions through steps of EBM, namely: formulating PICO questions, searching for and appraising evidence, applying the evidence to the clinical scenario and analysing the practice. Students and tutors satisfaction were evaluated using a 3-point ratings questionnaire. The majority of students and faculty expressed their satisfaction about integrating EBM with PBL and agreed that the problems were more stimulating. However, 33.6% of students indicated that available time was insufficient for searching literatures. Integrating EBM into PBL sessions tends to be more interesting and stimulating than traditional PBL sessions for final year students and helps them to practice and implement EBM in clinical context.

Measuring integrated care

DEFF Research Database (Denmark)

Strandberg-Larsen, Martin

2011-01-01

respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser...... differences were found in the perception of clinical integration in the two settings. More primary care clinicians in the Northern California region of Kaiser Permanente reported being part of a clinical integrated environment than did Danish general practitioners. By measuring the level of clinical...... and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine...

2013 Nutrition Risk Evidence Review Panel. Evidence Review for: The Risk Factor of Inadequate Nutrition

Science.gov (United States)

2014-01-01

The 2013 Nutrition Risk Standing Review Panel (from here on referred to as the SRP) met for a site visit in Houston, TX on November 20 - 21, 2013. The SRP reviewed the new Evidence Report for the Risk Factor of Inadequate Nutrition (from here on referred to as the 2013 Nutrition Evidence Report), as well as the Research Plan for this Risk. Overall, the SRP thinks the well-qualified research team has compiled an excellent summary of background information in the 2013 Nutrition Evidence Report. The SRP would like to commend the authors in general and particularly note that while the 2013 Nutrition Evidence Report has been written using a single nutrient approach, the research plan takes a much more integrated and physiologically based approach.

Housing First and Social Integration: A Realistic Aim?

Directory of Open Access Journals (Sweden)

Deborah Quilgars

2016-10-01

Full Text Available Housing First is now dominating discussions about how best to respond to homelessness among people with high and complex needs throughout the EU and in several countries within the OECD. Whilst recognised internationally as an effective model in addressing homelessness, little attention has been given as to whether Housing First also assists previously homeless people become more socially integrated into their communities. This paper reviews the available research evidence (utilising a Rapid Evidence Assessment methodology on the extent to which Housing First services are effective in promoting social integration. Existing evidence suggests Housing First is delivering varying results in respect of social integration, despite some evidence suggesting normalising effects of settled housing on ontological security. The paper argues that a lack of clarity around the mechanisms by which Housing First is designed to deliver ‘social integration’, coupled with poor measurement, helps explain the inconsistent and sometimes limited results for Housing First services in this area. It concludes that there is a need to look critically at the extent to which Housing First can deliver social integration, moving the debate beyond the successes in housing sustainment and identifying what is needed to enhance people’s lives in the longer-term.

Toward A Collection of Cloud Integration Patterns

OpenAIRE

Ritter, Daniel; Rinderle-Ma, Stefanie

2015-01-01

Cloud computing is one of the most exciting IT trends nowadays. It poses several challenges on application integration with respect to, for example, security. In this work we collect and categorize several new integration patterns and pattern solutions with a focus on cloud integration requirements. Their evidence and examples are based on extensive literature and system reviews.

Evidence on the Efficacy of Integrated Care

DEFF Research Database (Denmark)

Larsen, Torben

to European health regions. Method Systematic review of the literature on clinical continuity as complemented by trials and surveys within this project. Preliminary results 1. Integrated home care (IHC) is the most promising approach to better clinical continuity from the point of view of cost...... million new patients per year in EU might benefit from IHC. 3. As IHC improves activities of daily living (ADL) which implicates long term savings in social care services the working hypothesis is that IHC is a health economic dominant intervention. This enables a meso-strategy of dissemination focusing......  Purpose The fragmented delivery of health and social services for large groups of patients with chronic conditions was put on the research agenda in 2002 by WHO. The FP7-IHC-project ( http://www.integratedhomecare.eu/ ) aims to develop a turn-key-solution for better clinical continuity...

Analysis of reporting of systematic reviews in physical therapy published in Portuguese Análise da apresentação textual de revisões sistemáticas em fisioterapia publicadas no idioma português

Directory of Open Access Journals (Sweden)

Rosimeire S. Padula

2012-08-01

Full Text Available BACKGROUND: Systematic reviews are considered the best design to synthesize all existing information of a given research topic. To date, there is no study that investigated the quality of reporting of systematic reviews relevant to physical therapy published in Portuguese. Objective: To analyse the quality of reporting of systematic reviews in the field of physical therapy published in Portuguese by using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis checklist. METHOD: All systematic reviews published in Portuguese that were indexed on PEDro database up to August 2011 were included. The quality of reporting of the eligible papers was analysed by using the PRISMA checklist. Each quality assessment was performed by two independent reviewers with arbitration of a third reviewer if necessary. RESULTS: A total of 37 systematic reviews were identified. These studies were published between 2003 and 2010. Less than 30% of the PRISMA checklist items were satisfied, being most of the items related to the introduction and discussion sections. No improvements over time were observed. CONCLUSIONS: Most of the studies did not satisfy the items from the PRISMA Checklist. It seems that most of authors did not know the existence of this checklist. The implementation of reporting statements such as the PRISMA statement by Portuguese-written journals is likely to help authors to write their systematic reviews in a more transparent and clear way.CONTEXTUALIZAÇÃO: As revisões sistemáticas são consideradas a melhor forma de sintetizar toda a informação existente sobre um determinado tópico, porém não se conhece, até o momento, a qualidade da apresentação textual das revisões sistemáticas em fisioterapia publicadas no idioma português. Objetivo: Analisar a apresentação textual de revisões sistemáticas em fisioterapia publicadas no idioma português utilizando as recomendações PRISMA (Preferred Reporting Items for

Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review.

Science.gov (United States)

Li, Shelly-Anne; Jeffs, Lianne; Barwick, Melanie; Stevens, Bonnie

2018-05-05

Organizational contextual features have been recognized as important determinants for implementing evidence-based practices across healthcare settings for over a decade. However, implementation scientists have not reached consensus on which features are most important for implementing evidence-based practices. The aims of this review were to identify the most commonly reported organizational contextual features that influence the implementation of evidence-based practices across healthcare settings, and to describe how these features affect implementation. An integrative review was undertaken following literature searches in CINAHL, MEDLINE, PsycINFO, EMBASE, Web of Science, and Cochrane databases from January 2005 to June 2017. English language, peer-reviewed empirical studies exploring organizational context in at least one implementation initiative within a healthcare setting were included. Quality appraisal of the included studies was performed using the Mixed Methods Appraisal Tool. Inductive content analysis informed data extraction and reduction. The search generated 5152 citations. After removing duplicates and applying eligibility criteria, 36 journal articles were included. The majority (n = 20) of the study designs were qualitative, 11 were quantitative, and 5 used a mixed methods approach. Six main organizational contextual features (organizational culture; leadership; networks and communication; resources; evaluation, monitoring and feedback; and champions) were most commonly reported to influence implementation outcomes in the selected studies across a wide range of healthcare settings. We identified six organizational contextual features that appear to be interrelated and work synergistically to influence the implementation of evidence-based practices within an organization. Organizational contextual features did not influence implementation efforts independently from other features. Rather, features were interrelated and often influenced each

An integrated mechanism of pediatric pseudotumor cerebri syndrome: evidence of bioenergetic and hormonal regulation of cerebrospinal fluid dynamics.

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Sheldon, Claire A; Kwon, Young Joon; Liu, Grant T; McCormack, Shana E

2015-02-01

Pseudotumor cerebri syndrome (PTCS) is defined by the presence of elevated intracranial pressure (ICP) in the setting of normal brain parenchyma and cerebrospinal fluid (CSF). Headache, vision changes, and papilledema are common presenting features. Up to 10% of appropriately treated patients may experience permanent visual loss. The mechanism(s) underlying PTCS is unknown. PTCS occurs in association with a variety of conditions, including kidney disease, obesity, and adrenal insufficiency, suggesting endocrine and/or metabolic derangements may occur. Recent studies suggest that fluid and electrolyte balance in renal epithelia is regulated by a complex interaction of metabolic and hormonal factors; these cells share many of the same features as the choroid plexus cells in the central nervous system (CNS) responsible for regulation of CSF dynamics. Thus, we posit that similar factors may influence CSF dynamics in both types of fluid-sensitive tissues. Specifically, we hypothesize that, in patients with PTCS, mitochondrial metabolites (glutamate, succinate) and steroid hormones (cortisol, aldosterone) regulate CSF production and/or absorption. In this integrated mechanism review, we consider the clinical and molecular evidence for each metabolite and hormone in turn. We illustrate how related intracellular signaling cascades may converge in the choroid plexus, drawing on evidence from functionally similar tissues.

Integrative review of implementation strategies for translation of research-based evidence by nurses.

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Wuchner, Staci S

2014-01-01

The purpose of this review was to synthesize and critique experimental and/or quasi-experimental research that has evaluated implementation strategies for translation of research-based evidence into nursing practice. Successfully implementing evidence-based research can improve patient outcomes. Identifying successful implementation strategies is imperative to move research-based evidence into practice. As implementation science gains popularity, it is imperative to understand the strategies that most effectively translate research-based evidence into practice. The review used the CINAHL and MEDLINE (Ovid) databases. Articles were included if they were experimental and/or quasi-experimental research designs, were written in English, and measured nursing compliance to translation of research-based evidence. An independent review was performed to select and critique the included articles. A wide array of interventions were completed, including visual cues, audit and feedback, educational meetings and materials, reminders, outreach, and leadership involvement. Because of the complex multimodal nature of the interventions and the variety of research topics, comparison across interventions was difficult. Many difficulties exist in determining what implementation strategies are most effective for translation of research-based evidence into practice by nurses. With these limited findings, further research is warranted to determine which implementation strategies most successfully translate research-based evidence into practice.

The Integrative Self: How Self-Reference Integrates Perception and Memory.

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Sui, Jie; Humphreys, Glyn W

2015-12-01

We propose a new account of how self-reference affects information processing. We report evidence that self-reference affects the binding of memory to source, the integration of parts into perceptual wholes, and the ability to switch from a prior association to new associations. Self-reference also influences the integration of different stages of processing, linking attention to decision making, and affects the coupling between brain regions mediating self-representation and attention to the environment. Taken together, the data suggest that self-reference acts as a form of 'integrative glue' which can either enhance or disrupt performance, depending on the task context. We discuss the implications for understanding the self, and future directions for research. Copyright © 2015 Elsevier Ltd. All rights reserved.

Improving the International Agency for Research on Cancer's consideration of mechanistic evidence

International Nuclear Information System (INIS)

Goodman, Julie; Lynch, Heather

2017-01-01

Background: The International Agency for Research on Cancer (IARC) recently developed a framework for evaluating mechanistic evidence that includes a list of 10 key characteristics of carcinogens. This framework is useful for identifying and organizing large bodies of literature on carcinogenic mechanisms, but it lacks sufficient guidance for conducting evaluations that fully integrate mechanistic evidence into hazard assessments. Objectives: We summarize the framework, and suggest approaches to strengthen the evaluation of mechanistic evidence using this framework. Discussion: While the framework is useful for organizing mechanistic evidence, its lack of guidance for implementation limits its utility for understanding human carcinogenic potential. Specifically, it does not include explicit guidance for evaluating the biological significance of mechanistic endpoints, inter- and intra-individual variability, or study quality and relevance. It also does not explicitly address how mechanistic evidence should be integrated with other realms of evidence. Because mechanistic evidence is critical to understanding human cancer hazards, we recommend that IARC develop transparent and systematic guidelines for the use of this framework so that mechanistic evidence will be evaluated and integrated in a robust manner, and concurrently with other realms of evidence, to reach a final human cancer hazard conclusion. Conclusions: IARC does not currently provide a standardized approach to evaluating mechanistic evidence. Incorporating the recommendations discussed here will make IARC analyses of mechanistic evidence more transparent, and lead to assessments of cancer hazards that reflect the weight of the scientific evidence and allow for scientifically defensible decision-making. - Highlights: • IARC has a revised framework for evaluating literature on carcinogenic mechanisms. • The framework is based on 10 key characteristics of carcinogens. • IARC should develop transparent

Improving the International Agency for Research on Cancer's consideration of mechanistic evidence

Energy Technology Data Exchange (ETDEWEB)

Goodman, Julie, E-mail: jgoodman@gradientcorp.com; Lynch, Heather

2017-03-15

Background: The International Agency for Research on Cancer (IARC) recently developed a framework for evaluating mechanistic evidence that includes a list of 10 key characteristics of carcinogens. This framework is useful for identifying and organizing large bodies of literature on carcinogenic mechanisms, but it lacks sufficient guidance for conducting evaluations that fully integrate mechanistic evidence into hazard assessments. Objectives: We summarize the framework, and suggest approaches to strengthen the evaluation of mechanistic evidence using this framework. Discussion: While the framework is useful for organizing mechanistic evidence, its lack of guidance for implementation limits its utility for understanding human carcinogenic potential. Specifically, it does not include explicit guidance for evaluating the biological significance of mechanistic endpoints, inter- and intra-individual variability, or study quality and relevance. It also does not explicitly address how mechanistic evidence should be integrated with other realms of evidence. Because mechanistic evidence is critical to understanding human cancer hazards, we recommend that IARC develop transparent and systematic guidelines for the use of this framework so that mechanistic evidence will be evaluated and integrated in a robust manner, and concurrently with other realms of evidence, to reach a final human cancer hazard conclusion. Conclusions: IARC does not currently provide a standardized approach to evaluating mechanistic evidence. Incorporating the recommendations discussed here will make IARC analyses of mechanistic evidence more transparent, and lead to assessments of cancer hazards that reflect the weight of the scientific evidence and allow for scientifically defensible decision-making. - Highlights: • IARC has a revised framework for evaluating literature on carcinogenic mechanisms. • The framework is based on 10 key characteristics of carcinogens. • IARC should develop transparent

Metodología para el análisis textual en la traducción de los resúmenes de artículos científicos publicados en la Revista Ciencias Técnicas Agropecuarias

OpenAIRE

Leydi Laura Fleites Rodríguez

2011-01-01

El presente trabajo propone una metodología para el análisis textual en la traducción de los resúmenes de artículos científicos publicados en la Revista Ciencias Técnicas Agropecuarias. Para esto se analizaron las dificultades más frecuentes en la redacción y la traducción de los resúmenes en los trabajos científicos publicados en dicha revista. Se identificaron además las necesidades lingüísticas y comunicativas de los profesionales e investigadores en el campo de la Ingeniería Agrícola. Los...

Integrating Information Literacy and Evidence-Based Medicine Content within a New School of Medicine Curriculum: Process and Outcome.

Science.gov (United States)

Muellenbach, Joanne M; Houk, Kathryn M; E Thimons, Dana; Rodriguez, Bredny

2018-01-01

This column describes a process for integrating information literacy (IL) and evidence-based medicine (EBM) content within a new school of medicine curriculum. The project was a collaborative effort among health sciences librarians, curriculum deans, directors, and faculty. The health sciences librarians became members of the curriculum committees, developed a successful proposal for IL and EBM content within the curriculum, and were invited to become course instructors for Analytics in Medicine. As course instructors, the librarians worked with the other faculty instructors to design and deliver active learning class sessions based on a flipped classroom approach using a proprietary Information Mastery curriculum. Results of this collaboration may add to the knowledge base of attitudes and skills needed to practice as full faculty partners in curricular design and instruction.

Science and evidence: separating fact from fiction.

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Hess, Dean R

2013-10-01

Evidence-based medicine (EBM) is the integration of individual clinical expertise with the best available research evidence from systematic research and the patient's values and expectations. A hierarchy of evidence can be used to assess the strength upon which clinical decisions are made. The efficient approach to finding the best evidence is to identify systematic reviews or evidence-based clinical practice guidelines. Respiratory therapies that evidence supports include noninvasive ventilation for appropriately selected patients, lung-protective ventilation, and ventilator discontinuation protocols. Evidence does not support use of weaning parameters, albuterol for ARDS, and high frequency oscillatory ventilation for adults. Therapy with equivocal evidence includes airway clearance, selection of an aerosol delivery device, and PEEP for ARDS. Although all tenets of EBM are not universally accepted, the principles of EBM nonetheless provide a valuable approach to respiratory care practice.

Evidence in the learning organization

Directory of Open Access Journals (Sweden)

Umscheid Craig A

2009-03-01

Full Text Available Abstract Background Organizational leaders in business and medicine have been experiencing a similar dilemma: how to ensure that their organizational members are adopting work innovations in a timely fashion. Organizational leaders in healthcare have attempted to resolve this dilemma by offering specific solutions, such as evidence-based medicine (EBM, but organizations are still not systematically adopting evidence-based practice innovations as rapidly as expected by policy-makers (the knowing-doing gap problem. Some business leaders have adopted a systems-based perspective, called the learning organization (LO, to address a similar dilemma. Three years ago, the Society of General Internal Medicine's Evidence-based Medicine Task Force began an inquiry to integrate the EBM and LO concepts into one model to address the knowing-doing gap problem. Methods During the model development process, the authors searched several databases for relevant LO frameworks and their related concepts by using a broad search strategy. To identify the key LO frameworks and consolidate them into one model, the authors used consensus-based decision-making and a narrative thematic synthesis guided by several qualitative criteria. The authors subjected the model to external, independent review and improved upon its design with this feedback. Results The authors found seven LO frameworks particularly relevant to evidence-based practice innovations in organizations. The authors describe their interpretations of these frameworks for healthcare organizations, the process they used to integrate the LO frameworks with EBM principles, and the resulting Evidence in the Learning Organization (ELO model. They also provide a health organization scenario to illustrate ELO concepts in application. Conclusion The authors intend, by sharing the LO frameworks and the ELO model, to help organizations identify their capacities to learn and share knowledge about evidence-based practice

Increasing self-other integration through divergent thinking.

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Colzato, Lorenza S; van den Wildenberg, Wery P M; Hommel, Bernhard

2013-10-01

Increasing evidence suggests that people may cognitively represent themselves and others just like any other, nonsocial event. Here, we provide evidence that the degree of self-other integration (as reflected by the joint Simon effect; JSE) is systematically affected by the control characteristics of temporally overlapping but unrelated and nonsocial creativity tasks. In particular, the JSE was found to be larger in the context of a divergent-thinking task (alternate uses task) than in the context of a convergent-thinking task (remote association task). This suggests that self-other integration and action corepresentation are controlled by domain-general cognitive-control parameters that regulate the integrativeness (strong vs. weak top-down control and a resulting narrow vs. broad attentional focus) of information processing irrespective of its social implications.

The Spoofax language workbench

NARCIS (Netherlands)

Kats, L.C.L.; Visser, E.

2010-01-01

Spoofax is a language workbench for efficient, agile development of textual domain-specific languages with state-of-the-art IDE support. It provides a comprehensive environment that integrates syntax definition, program transformation, code generation, and declarative specification of IDE components

Image versus text: How newspaper reports affect evaluations of political candidates

NARCIS (Netherlands)

Boomgaarden, H.G.; Boukes, M.; Iorgoveanu, A.

2016-01-01

News coverage has become more visual and research suggests that news images affect assessments of political candidates. This study experimentally investigates the effects of textual versus visual on assessments of politicians’ competency and integrity, differentially for males and females. The

Politician Seeking Voter: How Interviews on Entertainment Talk Shows Affect Trust in Politicians

NARCIS (Netherlands)

Boukes, M.; Boomgaarden, H.G.

2016-01-01

News coverage has become more visual and research suggests that news images affect assessments of political candidates. This study experimentally investigates the effects of textual versus visual on assessments of politicians’ competency and integrity, differentially for males and females. The

Integration of evidence-based knowledge management in microsystems: a tele-ICU experience.

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Rincon, Teresa A

2012-01-01

The Institute of Medicine's proposed 6 aims to improve health care are timely, safe, effective, efficient, equitable, and patient-centered care. Unfortunately, it also asserts that improvements in these 6 dimensions cannot be achieved within the existing framework of care systems. These systems are based on unrealistic expectations on human cognition and vigilance, and demonstrate a lack of dependence on computerized systems to support care processes and put information at the point of use. Knowledge-based care and evidence-based clinical decision-making need to replace the unscientific care that is being delivered in health care. Building care practices on evidence within an information technology platform is needed to support sound clinical decision-making and to influence organizational adoption of evidence-based practice in health care. Despite medical advances and evidence-based recommendations for treatment of severe sepsis, it remains a significant cause of mortality and morbidity in the world. It is a complex disease state that has proven difficult to define, diagnose, and treat. Supporting bedside teams with real-time knowledge and expertise to target early identification of severe sepsis and compliance to Surviving Sepsis Campaign, evidence-based practice bundles are important to improving outcomes. Using a centralized, remote team of expert nurses and an open-source software application to advance clinical decision-making and execution of the severe sepsis bundle will be examined.

Evidence-based Practice of Radiology.

Science.gov (United States)

Lavelle, Lisa P; Dunne, Ruth M; Carroll, Anne G; Malone, Dermot E

2015-10-01

Current health care reform in the United States is producing a shift in radiology practice from the traditional volume-based role of performing and interpreting a large number of examinations to providing a more affordable and higher-quality service centered on patient outcomes, which is described as a value-based approach to the provision of health care services. In the 1990 s, evidence-based medicine was defined as the integration of current best evidence with clinical expertise and patient values. When these methods are applied outside internal medicine, the process is called evidence-based practice (EBP). EBP facilitates understanding, interpretation, and application of the best current evidence into radiology practice, which optimizes patient care. It has been incorporated into "Practice-based Learning and Improvement" and "Systems-based Practice," which are two of the six core resident competencies of the Accreditation Council for Graduate Medical Education and two of the 12 American Board of Radiology milestones for diagnostic radiology. Noninterpretive skills, such as systems-based practice, are also formally assessed in the "Quality and Safety" section of the American Board of Radiology Core and Certifying examinations. This article describes (a) the EBP framework, with particular focus on its relevance to the American Board of Radiology certification and maintenance of certification curricula; (b) how EBP can be integrated into a residency program; and (c) the current value and likely place of EBP in the radiology information technology infrastructure. Online supplemental material is available for this article. © RSNA, 2015.

Integrating Religion and Spirituality into Mental Health Care, Psychiatry and Psychotherapy

OpenAIRE

René Hefti

2011-01-01

Integrating spirituality into mental health care, psychiatry and psychotherapy is still controversial, albeit a growing body of evidence is showing beneficial effects and a real need for such integration. In this review, past and recent research as well as evidence from the integrative concept of a Swiss clinic is summarized. Religious coping is highly prevalent among patients with psychiatric disorders. Surveys indicate that 70–80% use religious or spiritual beliefs and activities to cope wi...

Supporting Evidence Use in Networked Professional Learning: The Role of the Middle Leader

Science.gov (United States)

LaPointe-McEwan, Danielle; DeLuca, Christopher; Klinger, Don A.

2017-01-01

Background: In Canada, contemporary collaborative professional learning models for educators utilise multiple forms of evidence to inform practice. Commonly, two forms of evidence are prioritised: (a) research-based evidence and (b) classroom-based evidence of student learning. In Ontario, the integration of these two forms of evidence within…

An Integrated Decision-Making Model for Transformer Condition Assessment Using Game Theory and Modified Evidence Combination Extended by D Numbers

Directory of Open Access Journals (Sweden)

Lingjie Sun

2016-08-01

Full Text Available The power transformer is one of the most critical and expensive components for the stable operation of the power system. Hence, how to obtain the health condition of transformer is of great importance for power utilities. Multi-attribute decision-making (MADM, due to its ability of solving multi-source information problems, has become a quite effective tool to evaluate the health condition of transformers. Currently, the analytic hierarchy process (AHP and Dempster–Shafer theory are two popular methods to solve MADM problems; however, these techniques rarely consider one-sidedness of the single weighting method and the exclusiveness hypothesis of the Dempster–Shafer theory. To overcome these limitations, this paper introduces a novel decision-making model, which integrates the merits of fuzzy set theory, game theory and modified evidence combination extended by D numbers, to evaluate the health condition of transformers. A four-level framework, which includes three factors and seventeen sub-factors, is put forward to facilitate the evaluation model. The model points out the following: First, the fuzzy set theory is employed to obtain the original basic probability assignments for all indices. Second, the subjective and objective weights of indices, which are calculated by fuzzy AHP and entropy weight, respectively, are integrated to generate the comprehensive weights based on game theory. Finally, based on the above two steps, the modified evidence combination extended by D numbers, which avoids the limitation of the exclusiveness hypothesis in the application of Dempster–Shafer theory, is proposed to obtain the final assessment results of transformers. Case studies are given to demonstrate the proposed modeling process. The results show the effectiveness and engineering practicability of the model in transformer condition assessment.

Improving integration for integrated coastal zone management: an eight country study.

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Portman, M E; Esteves, L S; Le, X Q; Khan, A Z

2012-11-15

Integrated coastal zone management (ICZM) is a widely accepted approach for sustainable management of the coastal environment. ICZM emphasizes integration across sectors, levels of government, uses, stakeholders, and spatial and temporal scales. While improving integration is central to progress in ICZM, the role of and the achievement of integration remain understudied. To further study these two points, our research analyzes the performance of specific mechanisms used to support ICZM in eight countries (Belgium, India, Israel, Italy, Portugal, Sweden, UK, and Vietnam). The assessment is based on a qualitative comparative analysis conducted through the use of two surveys. It focuses on five ICZM mechanisms (environmental impact assessment; planning hierarchy; setback lines; marine spatial planning, and regulatory commission) and their role in improving integration. Our findings indicate that certain mechanisms enhance specific types of integration more effectively than others. Environmental impact assessment enhances science-policy integration and can be useful to integrate knowledge across sectors. Planning hierarchy and regulatory commissions are effective mechanisms to integrate policies across government levels, with the latter also promoting public-government integration. Setback lines can be applied to enhance integration across landscape units. Marine spatial planning is a multi-faceted mechanism with the potential to promote all types of integration. Policy-makers should adopt the mechanisms that are suited to the type of integration needed. Results of this study also contribute to evidence-based coastal management by identifying the most common impediments related to the mechanisms of integration in the eight studied countries. Copyright © 2012 Elsevier B.V. All rights reserved.

ARCADIA: a system for the integration of angiocardiographic data and images by an object-oriented DBMS.

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Pinciroli, F; Combi, C; Pozzi, G

1995-02-01

Use of data base techniques to store medical records has been going on for more than 40 years. Some aspects still remain unresolved, e.g., the management of textual data and image data within a single system. Object-orientation techniques applied to a database management system (DBMS) allow the definition of suitable data structures (e.g., to store digital images): some facilities allow the use of predefined structures when defining new ones. Currently available object-oriented DBMS, however, still need improvements both in the schema update and in the query facilities. This paper describes a prototype of a medical record that includes some multimedia features, managing both textual and image data. The prototype here described considers data from the medical records of patients subjected to percutaneous transluminal coronary artery angioplasty. We developed it on a Sun workstation with a Unix operating system and ONTOS as an object-oriented DBMS.

A Practical Probabilistic Graphical Modeling Tool for Weighing Ecological Risk-Based Evidence

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Past weight-of-evidence frameworks for adverse ecological effects have provided soft-scoring procedures for judgments based on the quality and measured attributes of evidence. Here, we provide a flexible probabilistic structure for weighing and integrating lines of evidence for e...

Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies.

Science.gov (United States)

Bonham, Caroline A; Sommerfeld, David; Willging, Cathleen; Aarons, Gregory A

2014-01-01

Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs) in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38) supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

On textual and contextual position of the ophthalmological treatise of bodhisattva nāgārjuna.

Science.gov (United States)

Kim, Seongsu; Kang, Sungyong

2013-04-01

regard. Thereafter, Tài píng shèng huì fāng (Holy Prescriptions for Universal Relief) compiled by a national agency at the beginning of the Song Dynasty period introduced Lóng shù pú sà yăn lùn without clear indication of the reference. Contemporary with this book, many ophthalmological books such as Mì chuán yăn kē lóng mù lùn(Longmu's Ophthalmology Secretly Handed Down) were published. As Chinese culture was spreading out into surrounding countries, medical knowledge was also introduced to Korean peninsula and Japan. The ophthalmological knowledge contained in Lóng shù pú sà yăn lùn was also reflected and some parts of it were introduced in I shin bō in Japan. Based on the policy decision of King Sejong, the fourth king of Joseon Dynasty, large scaled promoting projects of medical knowledge was established. It is notable that the Ui bang ryu chwi compiled as a result of the synthesis of the medical treatises available at that time initiated by King Sejong contained a considerable part of Lóng shù pú sà yăn lùn in reedited form that had already passed into oblivion in China. The intellectuals in Joseon Dynasty who participated in the compilation of Ui bang ryu chwi not only indicated that Lóng shù pú sà yăn lùn was a medical text published in the times of Wei-Qin and South & North Dynasties in China but also clearly indicated the textual reference and left the original text for later generation without modifying the contents. According to the Ui bang ryu chwi, the Lóng shù pú sà yăn lùn indicated that the core causes of eye diseases were heat, winds, and three body fluids(trido a) and contained the analyses of symptoms, related treatments, and several analyses of wrong treatments. In addition, Lóng shù pú sà yăn lùn explained diverse eye diseases through more than 30 medical treatments. In particular, this book accurately described golden needle acupuncture for treatment of a Nèi-zhàng understood to be cataract

Auditory Streaming as an Online Classification Process with Evidence Accumulation

Science.gov (United States)

Barniv, Dana; Nelken, Israel

2015-01-01

When human subjects hear a sequence of two alternating pure tones, they often perceive it in one of two ways: as one integrated sequence (a single "stream" consisting of the two tones), or as two segregated sequences, one sequence of low tones perceived separately from another sequence of high tones (two "streams"). Perception of this stimulus is thus bistable. Moreover, subjects report on-going switching between the two percepts: unless the frequency separation is large, initial perception tends to be of integration, followed by toggling between integration and segregation phases. The process of stream formation is loosely named “auditory streaming”. Auditory streaming is believed to be a manifestation of human ability to analyze an auditory scene, i.e. to attribute portions of the incoming sound sequence to distinct sound generating entities. Previous studies suggested that the durations of the successive integration and segregation phases are statistically independent. This independence plays an important role in current models of bistability. Contrary to this, we show here, by analyzing a large set of data, that subsequent phase durations are positively correlated. To account together for bistability and positive correlation between subsequent durations, we suggest that streaming is a consequence of an evidence accumulation process. Evidence for segregation is accumulated during the integration phase and vice versa; a switch to the opposite percept occurs stochastically based on this evidence. During a long phase, a large amount of evidence for the opposite percept is accumulated, resulting in a long subsequent phase. In contrast, a short phase is followed by another short phase. We implement these concepts using a probabilistic model that shows both bistability and correlations similar to those observed experimentally. PMID:26671774

Turning Evidence into Practice

Science.gov (United States)

CGH CRTA, Hillary Topazian, attended the National Cancer Institute’s 3rd Symposium on Global Cancer Research; a satellite meeting to the 6th Annual Consortium of Universities for Global Health (CUGH) Conference in Boston. The Symposium centered on the theme of implementation science, a field which studies the integration of research findings and evidence into healthcare policy and practice.

Integrative Medicine in Preventive Medicine Education

Science.gov (United States)

Jani, Asim A.; Trask, Jennifer; Ali, Ather

2016-01-01

During 2012, the USDHHS’s Health Resources and Services Administration funded 12 accredited preventive medicine residencies to incorporate an evidence-based integrative medicine curriculum into their training programs. It also funded a national coordinating center at the American College of Preventive Medicine, known as the Integrative Medicine in Preventive Medicine Education (IMPriME) Center, to provide technical assistance to the 12 grantees. To help with this task, the IMPriME Center established a multidisciplinary steering committee, versed in integrative medicine, whose primary aim was to develop integrative medicine core competencies for incorporation into preventive medicine graduate medical education training. The competency development process was informed by central integrative medicine definitions and principles, preventive medicine’s dual role in clinical and population-based prevention, and the burgeoning evidence base of integrative medicine. The steering committee considered an interdisciplinary integrative medicine contextual framework guided by several themes related to workforce development and population health. A list of nine competencies, mapped to the six general domains of competence approved by the Accreditation Council of Graduate Medical Education, was operationalized through an iterative exercise with the 12 grantees in a process that included mapping each site’s competency and curriculum products to the core competencies. The competencies, along with central curricular components informed by grantees’ work presented elsewhere in this supplement, are outlined as a roadmap for residency programs aiming to incorporate integrative medicine content into their curricula. This set of competencies adds to the larger efforts of the IMPriME initiative to facilitate and enhance further curriculum development and implementation by not only the current grantees but other stakeholders in graduate medical education around integrative medicine

Mechanisms of Percept-Percept and Image-Percept Integration in Vision: Behavioral and Electrophysiological Evidence

Science.gov (United States)

Dalvit, Silvia; Eimer, Martin

2011-01-01

Previous research has shown that the detection of a visual target can be guided not only by the temporal integration of two percepts, but also by integrating a percept and an image held in working memory. Behavioral and event-related brain potential (ERP) measures were obtained in a target detection task that required temporal integration of 2…

Evidence-based librarianship: an overview.

Science.gov (United States)

Eldredge, J D

2000-10-01

To demonstrate how the core characteristics of both evidence-based medicine (EBM) and evidence-based health care (EBHC) can be adapted to health sciences librarianship. Narrative review essay involving development of a conceptual framework. The author describes the central features of EBM and EBHC. Following each description of a central feature, the author then suggests ways that this feature applies to health sciences librarianship. First, the decision-making processes of EBM and EBHC are compatible with health sciences librarianship. Second, the EBM and EBHC values of favoring rigorously produced scientific evidence in decision making are congruent with the core values of librarianship. Third, the hierarchical levels of evidence can be applied to librarianship with some modifications. Library researchers currently favor descriptive-survey and case-study methods over systematic reviews, randomized controlled trials, or other higher levels of evidence. The library literature nevertheless contains diverse examples of randomized controlled trials, controlled-comparison studies, and cohort studies conducted by health sciences librarians. Health sciences librarians are confronted with making many practical decisions. Evidence-based librarianship offers a decision-making framework, which integrates the best available research evidence. By employing this framework and the higher levels of research evidence it promotes, health sciences librarians can lay the foundation for more collaborative and scientific endeavors.

Integrated (one-stop shop) youth health care: best available evidence and future directions.

Science.gov (United States)

Hetrick, Sarah E; Bailey, Alan P; Smith, Kirsten E; Malla, Ashok; Mathias, Steve; Singh, Swaran P; O'Reilly, Aileen; Verma, Swapna K; Benoit, Laelia; Fleming, Theresa M; Moro, Marie Rose; Rickwood, Debra J; Duffy, Joseph; Eriksen, Trissel; Illback, Robert; Fisher, Caroline A; McGorry, Patrick D

2017-11-20

Although mental health problems represent the largest burden of disease in young people, access to mental health care has been poor for this group. Integrated youth health care services have been proposed as an innovative solution. Integrated care joins up physical health, mental health and social care services, ideally in one location, so that a young person receives holistic care in a coordinated way. It can be implemented in a range of ways. A review of the available literature identified a range of studies reporting the results of evaluation research into integrated care services. The best available data indicate that many young people who may not otherwise have sought help are accessing these mental health services, and there are promising outcomes for most in terms of symptomatic and functional recovery. Where evaluated, young people report having benefited from and being highly satisfied with these services. Some young people, such as those with more severe presenting symptoms and those who received fewer treatment sessions, have failed to benefit, indicating a need for further integration with more specialist care. Efforts are underway to articulate the standards and core features to which integrated care services should adhere, as well as to further evaluate outcomes. This will guide the ongoing development of best practice models of service delivery.

Integrative oncology: an overview.

Science.gov (United States)

Deng, Gary; Cassileth, Barrie

2014-01-01

Integrative oncology, the diagnosis-specific field of integrative medicine, addresses symptom control with nonpharmacologic therapies. Known commonly as "complementary therapies" these are evidence-based adjuncts to mainstream care that effectively control physical and emotional symptoms, enhance physical and emotional strength, and provide patients with skills enabling them to help themselves throughout and following mainstream cancer treatment. Integrative or complementary therapies are rational and noninvasive. They have been subjected to study to determine their value, to document the problems they ameliorate, and to define the circumstances under which such therapies are beneficial. Conversely, "alternative" therapies typically are promoted literally as such; as actual antitumor treatments. They lack biologic plausibility and scientific evidence of safety and efficacy. Many are outright fraudulent. Conflating these two very different categories by use of the convenient acronym "CAM," for "complementary and alternative therapies," confuses the issue and does a substantial disservice to patients and medical professionals. Complementary and integrative modalities have demonstrated safety value and benefits. If the same were true for "alternatives," they would not be "alternatives." Rather, they would become part of mainstream cancer care. This manuscript explores the medical and sociocultural context of interest in integrative oncology as well as in "alternative" therapies, reviews commonly-asked patient questions, summarizes research results in both categories, and offers recommendations to help guide patients and family members through what is often a difficult maze. Combining complementary therapies with mainstream oncology care to address patients' physical, psychologic and spiritual needs constitutes the practice of integrative oncology. By recommending nonpharmacologic modalities that reduce symptom burden and improve quality of life, physicians also enable

Bipolar disorder and complementary medicine: current evidence, safety issues, and clinical considerations.

Science.gov (United States)

Sarris, Jerome; Lake, James; Hoenders, Rogier

2011-10-01

Bipolar disorder (BD) is a debilitating syndrome that is often undiagnosed and undertreated. Population surveys show that persons with BD often self-medicate with complementary and alternative medicine (CAM) or integrative therapies in spite of limited research evidence supporting their use. To date, no review has focused specifically on nonconventional treatments of BD. The study objectives were to present a review of nonconventional (complementary and integrative) interventions examined in clinical trials on BD, and to offer provisional guidelines for the judicious integrative use of CAM in the management of BD. PubMed, CINAHL,(®) Web of Science, and Cochrane Library databases were searched for human clinical trials in English during mid-2010 using Bipolar Disorder and CAM therapy and CAM medicine search terms. Effect sizes (Cohen's d) were also calculated where data were available. Several positive high-quality studies on nutrients in combination with conventional mood stabilizers and antipsychotic medications in BD depression were identified, while branched-chain amino acids and magnesium were effective (small studies) in attenuating mania in BD. In the treatment of bipolar depression, evidence was mixed regarding omega-3, while isolated studies provide provisional support for a multinutrient formula, n-acetylcysteine, and l-tryptophan. In one study, acupuncture was found to have favorable but nonsignificant effects on mania and depression outcomes. Current evidence supports the integrative treatment of BD using combinations of mood stabilizers and select nutrients. Other CAM or integrative modalities used to treat BD have not been adequately explored to date; however, some early findings are promising. Select CAM and integrative interventions add to established conventional treatment of BD and may be considered when formulating a treatment plan. It is hoped that the safety issues and clinical considerations addressed in this article may encourage the practice

O USO DE ESTRATÉGIAS METACOGNITIVAS COMO SUPORTE À COMPREENSÃO TEXTUAL .THE USE OF METACOGNITIVE STRATEGIES SUPPORTING READING COMPREHENSION

Directory of Open Access Journals (Sweden)

Luciana Vasconcelos dos Santos Dantas Hodges

2012-11-01

Full Text Available A compreensão de um texto, por ser um processo dinâmico de construção de sentidos, se dá a partir de uma postura reflexiva e deliberada do leitor, que precisa fazer uso de diferentes estratégias para entender as informações explícitas no texto e inferir outras, além de integrá-las num todo coerente. Este artigo discute as estratégias de natureza metacognitiva que o leitor pode acessar antes, durante e/ou após a leitura de um texto, ressaltando que diferentes textos podem demandar o uso de diferentes estratégias, sendo necessário que o leitor tome decisões acerca de quais as mais adequadas para o tipo e gênero textual em questão, além das suas próprias expectativas, contexto de leitura e necessidade emergente. A literatura da área aponta que estratégias de leitura, incluindo as de natureza metacognitiva, que levam o indivíduo a refletir sobre o seu próprio pensamento, são eficazes em ajudar o aluno a desenvolver sua compreensão e superar dificuldades. Sendo assim, podem e devem ser ensinadas, pois este ensino é essencial para a formação de leitores autônomos, capazes de compreender diversos tipos de texto. Existem diversas estratégias metacognitivas descritas na literatura, e o presente artigo enfoca particularmente as estratégias de monitoramento, autoexplicações e justificativas, ressaltando a importância de que os professores conheçam, fomentem o uso e auxiliem no domínio de estratégias metacognitivas na compreensão de textos.Reading comprehension is a dynamic process of constructing meaning, and therefore is based on a deliberate, reflective posture from the reader, who needs to use different strategies to understand the information which is explicit in the text, to infer other information, and to integrate them coherently. This article discusses metacognitive strategies the reader can make use of before, during, and/or after reading a test, stressing that different types of text may require the use of

Impairments in Skin Integrity.

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Murphree, Rose W

2017-09-01

Altered skin integrity increases the chance of infection, impaired mobility, and decreased function and may result in the loss of limb or, sometimes, life. Skin is affected by both intrinsic and extrinsic factors. Intrinsic factors can include altered nutritional status, vascular disease issues, and diabetes. Extrinsic factors include falls, accidents, pressure, immobility, and surgical procedures. Ensuring skin integrity in the elderly requires a team approach and includes the individual, caregivers, and clinicians. The twenty-first century clinician has several online, evidence-based tools to assist with optimal treatment plans. Understanding best practices in addressing skin integrity issues can promote positive outcomes with the elderly. Copyright © 2017 Elsevier Inc. All rights reserved.

"Hey, I Didn't Say That!": Teaching Textual Integrity through Misrepresented Quotes

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Ford, Jessica L.

2015-01-01

Despite specialized areas of expertise, communication instructors are unified, to a large extent, by a singular belief: the meaning people give words produces behavioral ramifications (Mead, 2009). Communication instructors revere language's ability to reflect both meaning and reality. Yet, they also are tasked with the responsibility of conveying…

Processing and Memory of Central versus Peripheral Information as a Function of Reading Goals: Evidence from Eye-Movements

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Yeari, Menahem; van den Broek, Paul; Oudega, Marja

2015-01-01

The present study examined the effect of reading goals on the processing and memory of central and peripheral textual information. Using eye-tracking methodology, we compared the effect of four common reading goals--entertainment, presentation, studying for a close-ended (multiple-choice) questions test, and studying for an open-ended questions…

MOLDOVA: MISSED ADVANTAGES OF EURASIAN INTEGRATION

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Ludmila Vasiljevna Fokina

2015-01-01

Full Text Available The article is devoted to potentially missed advantages of Eurasian integration (EAEU for Moldova. Special attention is given to the branches in which the country could get evident advantages including agriculture, power engineering, external trade ties with the EAEU countries. Possible positive effects of Eurasian integration in solution of the Transnistrian problem, in the sphere of labour migration and other fields are also shown.

Integrated Medical Model Overview

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Myers, J.; Boley, L.; Foy, M.; Goodenow, D.; Griffin, D.; Keenan, A.; Kerstman, E.; Melton, S.; McGuire, K.; Saile, L.;

Discovering disease associations by integrating electronic clinical data and medical literature.

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Antony B Holmes

Full Text Available Electronic health record (EHR systems offer an exceptional opportunity for studying many diseases and their associated medical conditions within a population. The increasing number of clinical record entries that have become available electronically provides access to rich, large sets of patients' longitudinal medical information. By integrating and comparing relations found in the EHRs with those already reported in the literature, we are able to verify existing and to identify rare or novel associations. Of particular interest is the identification of rare disease co-morbidities, where the small numbers of diagnosed patients make robust statistical analysis difficult. Here, we introduce ADAMS, an Application for Discovering Disease Associations using Multiple Sources, which contains various statistical and language processing operations. We apply ADAMS to the New York-Presbyterian Hospital's EHR to combine the information from the relational diagnosis tables and textual discharge summaries with those from PubMed and Wikipedia in order to investigate the co-morbidities of the rare diseases Kaposi sarcoma, toxoplasmosis, and Kawasaki disease. In addition to finding well-known characteristics of diseases, ADAMS can identify rare or previously unreported associations. In particular, we report a statistically significant association between Kawasaki disease and diagnosis of autistic disorder.

Integral of notion for a quantum Sutherland-Calogero system in the external field

International Nuclear Information System (INIS)

Meshcheryakov, D.V.; Tverskoj, V.B.

2000-01-01

The Sutherland-Calogero three-particle system in the external field is considered. The formula for ordering non-commutating variables in the motion integrals is proposed. The motion integrals are obtained in an obvious form. The problem on analytical evidence of the system complete integration by arbitrary N remains open. The formula, proposed in this paper for ordering non-commutating variables in the I n , may be applied by conducting the total evidence [ru

Integrated Care Programme—Department of Health, UK

OpenAIRE

Dewji, Mo; Passmore, Julie; Wardell, John

2010-01-01

Introduction Integration is seen as a key building block within the strategic plan for improving the health and well-being of the population of England. The Integrated Care Pilot programme is a three-year academically assessed research programme sponsored by the Department of Health, England, which aims to explore and gather evidence to support different approaches to integration. Aims With 16 pilot sites across England the objectives of the programme are based upon a Government commitment to...

Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies

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Caroline A. Bonham

2014-01-01

Full Text Available Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38 supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities.

The Wikipedia Image Retrieval Task

NARCIS (Netherlands)

T. Tsikrika (Theodora); J. Kludas

2010-01-01

htmlabstractThe wikipedia image retrieval task at ImageCLEF provides a testbed for the system-oriented evaluation of visual information retrieval from a collection of Wikipedia images. The aim is to investigate the effectiveness of retrieval approaches that exploit textual and visual evidence in the

Contenitori neoassiri: studi per un repertorio lessicale

DEFF Research Database (Denmark)

Gaspa, Salvatore

-Babylonian dialect, and 3) the literary dialect known as “Standard Babylonian”. Through an interdisciplinary investigation involving a lexical analysis and a comparison of the textual data with the iconographical and archaeological evidence of first millennium BC Assyrian utensils, the research presents an updated...

Frisians and their North Sea Neighbours : From the Fifth Century to the Viking Age

NARCIS (Netherlands)

Hines, John; IJssennagger, Nelleke

2017-01-01

An investigation into the mysterious Frisians, drawing together evidence from linguistic, textual and archaeological sources. From as early as the first century AD, learned Romans knew of more than one group of people living in north-western Europe beyond their Empire's Gallic provinces whose names

Project INTEGRATE - a common methodological approach to understand integrated health care in Europe

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Lucinda Cash-Gibson

2014-12-01

Full Text Available Background: The use of case studies in health services research has proven to be an excellent methodology for gaining in-depth understanding of the organisation and delivery of health care. This is particularly relevant when looking at the complexity of integrated healthcare programmes, where multifaceted interactions occur at the different levels of care and often without a clear link between the interventions (new and/or existing and their impact on outcomes (in terms of patients health, both patient and professional satisfaction and cost-effectiveness. Still, integrated care is seen as a core strategy in the sustainability of health and care provision in most societies in Europe and beyond. More specifically, at present, there is neither clear evidence on transferable factors of integrated care success nor a method for determining how to establish these specific success factors. The drawback of case methodology in this case, however, is that the in-depth results or lessons generated are usually highly context-specific and thus brings the challenge of transferability of findings to other settings, as different health care systems and different indications are often not comparable. Project INTEGRATE, a European Commission-funded project, has been designed to overcome these problems; it looks into four chronic conditions in different European settings, under a common methodology framework (taking a mixed-methods approach to try to overcome the issue of context specificity and limited transferability. The common methodological framework described in this paper seeks to bring together the different case study findings in a way that key lessons may be derived and transferred between countries, contexts and patient-groups, where integrated care is delivered in order to provide insight into generalisability and build on existing evidence in this field.Methodology: To compare the different integrated care experiences, a mixed-methods approach has

A Learning Log Analysis of an English-Reading e-Book System Combined with a Guidance Mechanism

Science.gov (United States)

Wu, Ting-Ting

2016-01-01

Learning English by reading articles on multimedia e-book devices can assist students in improving their vocabulary and in understanding the associations among vocabulary, textual meaning, and paragraph composition. Adaptive integration of reading technologies and strategies not only strengthens their language ability and reading comprehension,…

Integrating evidence-based treatments for common mental disorders in routine primary care: feasibility and acceptability of the MANAS intervention in Goa, India.

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Chatterjee, Sudipto; Chowdhary, Neerja; Pednekar, Sulochana; Cohen, Alex; Andrew, Gracy; Andrew, Gracy; Araya, Ricardo; Simon, Gregory; King, Michael; Telles, Shirley; Verdeli, Helena; Clougherty, Kathleen; Kirkwood, Betty; Patel, Vikram

2008-02-01

Common mental disorders, such as depression and anxiety, pose a major public health burden in developing countries. Although these disorders are thought to be best managed in primary care settings, there is a dearth of evidence about how this can be achieved in low resource settings. The MANAS project is an attempt to integrate an evidence based package of treatments into routine public and private primary care settings in Goa, India. Before initiating the trial, we carried out extensive preparatory work, over a period of 15 months, to examine the feasibility and acceptability of the planned intervention. This paper describes the systematic development and evaluation of the intervention through this preparatory phase. The preparatory stage, which was implemented in three phases, utilized quantitative and qualitative methods to inform our understanding of the potential problems and possible solutions in implementing the trial and led to critical modifications of the original intervention plan. Investing in systematic formative work prior to conducting expensive trials of the effectiveness of complex interventions is a useful exercise which potentially improves the likelihood of a positive result of such trials.

Undergraduate physiotherapy students' competencies, attitudes and perceptions after integrated educational pathways in evidence-based practice: a mixed methods study.

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Bozzolan, M; Simoni, G; Balboni, M; Fiorini, F; Bombardi, S; Bertin, N; Da Roit, M

2014-11-01

This mixed methods study aimed to explore perceptions/attitudes, to evaluate knowledge/ skills, to investigate clinical behaviours of undergraduate physiotherapy students exposed to a composite education curriculum on evidence-based practice (EBP). Students' knowledge and skills were assessed before and after integrated learning activities, using the Adapted Fresno test, whereas their behaviour in EBP was evaluated by examining their internship documentation. Students' perceptions and attitudes were explored through four focus groups. Sixty-two students agreed to participate in the study. The within group mean differences (A-Fresno test) were 34.2 (95% CI 24.4 to 43.9) in the first year and 35.1 (95% CI 23.2 to 47.1) in the second year; no statistically significant change was observed in the third year. Seventy-six percent of the second year and 88% of the third year students reached the pass score. Internship documentation gave evidence of PICOs and database searches (95-100%), critical appraisal of internal validity (25-75%) but not of external validity (5-15%). The correct application of these items ranged from 30 to 100%. Qualitative analysis of the focus groups indicated students valued EBP, but perceived many barriers, with clinicians being both an obstacle and a model. Key elements for changing students' behaviours seem to be internship environment and possibility of continuous practice and feedback.

Multimodal location estimation of videos and images

CERN Document Server

Friedland, Gerald

2015-01-01

This book presents an overview of the field of multimodal location estimation, i.e. using acoustic, visual, and/or textual cues to estimate the shown location of a video recording. The authors' sample research results in this field in a unified way integrating research work on this topic that focuses on different modalities, viewpoints, and applications. The book describes fundamental methods of acoustic, visual, textual, social graph, and metadata processing as well as multimodal integration methods used for location estimation. In addition, the text covers benchmark metrics and explores the limits of the technology based on a human baseline. ·         Discusses localization of multimedia data; ·         Examines fundamental methods of establishing location metadata for images and videos (other than GPS tagging); ·         Covers Data-Driven as well as Semantic Location Estimation.

Hospital-physician collaboration: landscape of economic integration and impact on clinical integration.

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Burns, Lawton Robert; Muller, Ralph W

2008-09-01

Hospital-physician relationships (HPRs) are an important area of academic research, given their impact on hospitals' financial success. HPRs also are at the center of several federal policy proposals such as gain sharing, bundled payments, and pay-for-performance (P4P). This article analyzes the HPRs that focus on the economic integration of hospitals and physicians and the goals that HPRs are designed to achieve. It then reviews the literature on the impact of HPRs on cost, quality, and clinical integration. The goals of the two parties in HPRs overlap only partly, and their primary aim is not reducing cost or improving quality. The evidence base for the impact of many models of economic integration is either weak or nonexistent, with only a few models of economic integration having robust effects. The relationship between economic and clinical integration also is weak and inconsistent. There are several possible reasons for this weak linkage and many barriers to further integration between hospitals and physicians. Successful HPRs may require better financial conditions for physicians, internal changes to clinical operations, application of behavioral skills to the management of HPRs, changes in how providers are paid, and systemic changes encompassing several types of integration simultaneously.

Support Systems for Treatment Integrity

NARCIS (Netherlands)

Goense, Pauline Brigitta; Boendermaker, Leonieke; van Yperen, Tom

Objective: This systematic review evaluates the content of effective support provided to practitioners of evidence-based interventions in order to establish and maintain treatment integrity. Method: Four articles covering six outcome studies are included in this review, these studies (1) adequately

White matter integrity in brain networks relevant to anxiety and depression: evidence from the human connectome project dataset.

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De Witte, Nele A J; Mueller, Sven C

2017-12-01

Anxiety and depression are associated with altered communication within global brain networks and between these networks and the amygdala. Functional connectivity studies demonstrate an effect of anxiety and depression on four critical brain networks involved in top-down attentional control (fronto-parietal network; FPN), salience detection and error monitoring (cingulo-opercular network; CON), bottom-up stimulus-driven attention (ventral attention network; VAN), and default mode (default mode network; DMN). However, structural evidence on the white matter (WM) connections within these networks and between these networks and the amygdala is lacking. The current study in a large healthy sample (n = 483) observed that higher trait anxiety-depression predicted lower WM integrity in the connections between amygdala and specific regions of the FPN, CON, VAN, and DMN. We discuss the possible consequences of these anatomical alterations for cognitive-affective functioning and underscore the need for further theory-driven research on individual differences in anxiety and depression on brain structure.

Financial integration in the European Union. Measurement and determination

NARCIS (Netherlands)

Lemmen, J.J.G.

1996-01-01

The first part of this study addresses the measurement of financial integration in the European Union (EU). First, we present empirical evidence on the degree of financial integration as measured with interest parity conditions. Second, the study applies an error-correction model of

Evidence-based approach for continuous improvement of occupational health.

Science.gov (United States)

Manzoli, Lamberto; Sotgiu, Giovanni; Magnavita, Nicola; Durando, Paolo

2015-01-01

It was recognized early on that an Evidence-Based Medicine (EBM) approach could be applied to Public Health (PH), including the area of Occupational Health (OH). The aim of Evidence-Based Occupational Health (EBOH) is to ensure safety, health, and well-being in the workplace. Currently, high-quality research is necessary in order to provide arguments and scientific evidence upon which effective, efficient, and sustainable preventive measures and policies are to be developed in the workplace in Western countries. Occupational physicians need to integrate available scientific evidence and existing recommendations with a framework of national employment laws and regulations. This paper addresses the state of the art of scientific evidence available in the field (i.e., efficacy of interventions, usefulness of education and training of workers, and need of a multidisciplinary strategy integrated within the national PH programs) and the main critical issues for their implementation. Promoting good health is a fundamental part of the smart, inclusive growth objectives of Europe 2020 - Europe's growth strategy: keeping people healthy and active for longer has a positive impact on productivity and competitiveness. It appears clear that health quality and safety in the workplace play a key role for smart, sustainable, and inclusive growth in Western countries.

How has the impact of 'care pathway technologies' on service integration in stroke care been measured and what is the strength of the evidence to support their effectiveness in this respect?

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Allen, Davina; Rixson, Laura

2008-03-01

EXECUTIVE SUMMARY: Across the developed world, we are witnessing an increasing emphasis on the need for more closely coordinated forms of health and social care provision. Integrated care pathways (ICPs) have emerged as a response to this aspiration and are believed by many to address the factors which contribute to service integration. ICPs map out a patient's journey, providing coordination of services for users. They aim to have: 'the right people, doing the right things, in the right order, at the right time, in the right place, with the right outcome'. The value for ICPs in supporting the delivery of care across organisational boundaries, providing greater consistency in practice, improving service continuity and increasing collaboration has been advocated by many. However, there is little evidence to support their use, and the need for systematic evaluations in order to measure their effectiveness has been widely identified. A recent Cochrane review assessed the effects of ICPs on functional outcome, process of care, quality of life and hospitalisation costs of inpatients with acute stroke, but did not specifically focus on service integration or its derivatives. To the best of our knowledge, no such systematic review of the literature exists. • To systematically review all high-quality studies which have evaluated the impact of care pathway technologies on 'service integration' and its derivatives in stroke care • To examine how elements of service integration are defined in such studies • To examine the type of evidence utilised to measure service integration • To analyse the weight of evidence used to support claims about the effectiveness of ICPs on improving service integration • To produce recommendations for ICP developers, users and evaluators. Types of participants The review focused on the care of adult patients who had suffered a stroke. It included the full spectrum of services - acute care, rehabilitation and long-term support

Considering axiological integrity: a methodological analysis of qualitative evidence syntheses, and its implications for health professions education.

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Kelly, Martina; Ellaway, Rachel H; Reid, Helen; Ganshorn, Heather; Yardley, Sarah; Bennett, Deirdre; Dornan, Tim

2018-05-14

Qualitative evidence synthesis (QES) is a suite of methodologies that combine qualitative techniques with the synthesis of qualitative knowledge. They are particularly suited to medical education as these approaches pool findings from original qualitative studies, whilst paying attention to context and theoretical development. Although increasingly sophisticated use is being made of qualitative primary research methodologies in health professions education (HPE) the use of secondary qualitative reviews in HPE remains underdeveloped. This study examined QES methods applied to clinical humanism in healthcare as a way of advancing thinking around the use of QES in HPE in general. A systematic search strategy identified 49 reviews that fulfilled the inclusion criteria. Meta-study was used to develop an analytic summary of methodological characteristics, the role of theory, and the synthetic processes used in QES reviews. Fifteen reviews used a defined methodology, and 17 clearly explained the processes that led from data extraction to synthesis. Eight reviews adopted a specific theoretical perspective. Authors rarely described their reflexive relationship with their data. Epistemological positions tended to be implied rather than explicit. Twenty-five reviews included some form of quality appraisal, although it was often unclear how authors acted on its results. Reviewers under-reported qualitative approaches in their review methodologies, and tended to focus on elements such as systematicity and checklist quality appraisal that were more germane to quantitative evidence synthesis. A core concern was that the axiological (value) dimensions of the source materials were rarely considered let alone accommodated in the synthesis techniques used. QES can be used in HPE research but only with careful attention to maintaining axiological integrity.

Measuring integrated care.

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Strandberg-Larsen, Martin

2011-02-01

The positive outcomes of coordination of healthcare services are to an increasing extent becoming clear. However the complexity of the field is an inhibiting factor for vigorously designed trial studies. Conceptual clarity and a consistent theoretical frame-work are thus needed. While researchers respond to these needs, patients and providers face the multiple challenges of today's healthcare environment. Decision makers, planners and managers need evidence based policy options and information on the scope of the integrated care challenges they are facing. The US managed care organization Kaiser Permanente has been put forward as an example for European healthcare systems to follow, although the evidence base is far from conclusive. The thesis has five objectives: 1) To contribute to the understanding of the concept of integration in healthcare systems and to identify measurement methods to capture the multi-dimensional aspects of integrated healthcare delivery. 2) To assess the level of integration of the Danish healthcare system. 3) To assess the use of joint health plans as a tool for coordination between the regional and local level in the Danish healthcare system. 4) To compare the inputs and performance of the Danish healthcare system and the managed care organization Kaiser Permanente, California, US. 5) To compare primary care clinicians' perception of clinical integration in two healthcare systems: Kaiser Permanente, Northern California and the Danish healthcare system. Further to examine the associations between specific organizational factors and clinical integration within each system. The literature was systematically searched to identify methods for measurement of integrated healthcare delivery. A national cross-sectional survey was conducted among major professional stake-holders at five different levels of the Danish healthcare system. The survey data were used to allow for analysis of the level of integration achieved. Data from the survey were

New approach to weight-of-evidence assessment of ecotoxicological effects in regulatory decision-making.

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Hall, A Tilghman; Belanger, Scott E; Guiney, Pat D; Galay-Burgos, Malyka; Maack, Gerd; Stubblefield, William; Martin, Olwenn

2017-07-01

Ecological risk assessments and risk management decisions are only as sound as the underlying information and processes to integrate them. It is important to develop transparent and reproducible procedures a priori to integrate often-heterogeneous evidence. Current weight-of-evidence (WoE) approaches for effects or hazard assessment tend to conflate aspects of the assessment of the quality of the data with the strength of the body of evidence as a whole. We take forward recent developments in the critical appraisal of the reliability and relevance of individual ecotoxicological studies as part of the effect or hazard assessment of prospective risk assessments and propose a streamlined WoE approach. The aim is to avoid overlap and double accounting of criteria used in reliability and relevance with that used in current WoE methods. The protection goals, problem formulation, and evaluation process need to be clarified at the outset. The data are first integrated according to lines of evidence (LoEs), typically mechanistic insights (e.g., cellular, subcellular, genomic), in vivo experiments, and higher-tiered field or observational studies. Data are then plotted on the basis of both relevance and reliability scores or categories. This graphical approach provides a means to visually assess and communicate the credibility (reliability and relevance of available individual studies), quantity, diversity, and consistency of the evidence. In addition, the external coherence of the body of evidence needs to be considered. The final step in the process is to derive an expression of the confidence in the conclusions of integrating the information considering these 5 aspects in the context of remaining uncertainties. We suggest that this streamlined approach to WoE for the effects or hazard characterization should facilitate reproducible and transparent assessments of data across different regulatory requirements. Integr Environ Assess Manag 2017;13:573-579. © 2017 The Authors

Development and implementation of the Ontario Stroke System: the use of evidence

Directory of Open Access Journals (Sweden)

Jill I. Cameron

2007-08-01

Full Text Available Introduction The Ontario Stroke System was developed to enhance the quality and continuity of stroke care provided across the care continuum. Research Objective To identify the role evidence played in the development and implementation of the Ontario Stroke System. Methods This study employed a qualitative case study design. In-depth interviews were conducted with six members of the Ontario Stroke System provincial steering committee. Nine focus groups were conducted with: Regional Program Managers, Regional Education Coordinators, and seven acute care teams. To supplement these findings interviews were conducted with eight individuals knowledgeable about national and international models of integrated service delivery. Results Our analyses identified six themes. The first four themes highlight the use of evidence to support the process of system development and implementation including: 1 informing system development; 2 mobilizing governmental support; 3 getting the system up and running; and 4 integrating services across the continuum of care. The final two themes describe the foundation required to support this process: 1 human capacity and 2 mechanisms to share evidence. Conclusion This study provides guidance to support the development and implementation of evidence-based models of integrated service delivery.

Biomechanics of the thorax - research evidence and clinical expertise.

Science.gov (United States)

Lee, Diane Gail

2015-07-01

Understanding the biomechanics of the thorax is critical for understanding its role in multiple conditions since the thorax is part of many integrated systems including the musculoskeletal, respiratory, cardiac, digestive and urogynecological. The thorax is also an integrated system within itself and an element of the whole body/person. Therefore, understanding the biomechanics of the thorax is fundamental to all forms of treatment for multiple conditions. The interpretation of movement examination findings depends on one's view of optimal biomechanics and the influential factors. This article will provide a synopsis of the current state of research evidence as well as observations from clinical experience pertaining to the biomechanics of the thorax in order to help clinicians organise this knowledge and facilitate evidence-based and informed management of the, often complex, patient with or without thoracic pain and impairment. The integrated systems model (ISM) will be introduced as a way to determine when the noted biomechanical findings are relevant to a patient's clinical presentation.

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DEFF Research Database (Denmark)

Hansen, Magnus Paulsen

2016-01-01

with neoliberalism. By analyzing the textual ‘evidence’ of the proponents of the ‘seduction theses' the essay shows that its premises are rather flawed. Firstly, the lack of normative denunciations in Foucault's writing on neoliberalism cannot be taken as an endorsement, but as integral to a specific way...

Orchestrating Authorship: Teaching Writing across the Psychology Curriculum

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Soysa, Champika K.; Dunn, Dana S.; Dottolo, Andrea L.; Burns-Glover, Alyson L.; Gurung, Regan A. R.

2013-01-01

This article describes the kinds of writing that could be introduced at the beginner, intermediate, and advanced course levels in the psychology major. We present exemplars of writing assignments across three institutions, including textual analysis, integrating intratext and intertext writing, and a capstone thesis project, where the skills…

"Bettering Her Education and Widening Her Sphere": Betwixt and between Coeducational Experiences

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Snowden, Monique L.

2011-01-01

This article is a focused response to the call for a "conscious use of crystallization," in qualitative research. To this end, the author brings into play a full-bodied textual metaphor, the "palimpsest," to stimulate the expansion of an integrated crystallization typology--comprised of woven and patched approaches.…

The Resources of the Past in Early Medieval Europe

NARCIS (Netherlands)

Gantner, C.; McKitterick, R.M.; Meeder, S.M.

2015-01-01

This volume analyses the importance of history, the textual resources of the past and the integration of Christian and imperial Rome into the cultural memory of early medieval Europe within the wider question of identity formation. The case studies in this book shed new light on the process of

Developing an evidence-based approach to Public Health Nutrition: translating evidence into policy.

Science.gov (United States)

Margetts, B; Warm, D; Yngve, A; Sjöström, M

2001-12-01

The aim of this paper is to highlight the importance of an evidence-based approach to the development, implementation and evaluation of policies aimed at improving nutrition-related health in the population. Public Health Nutrition was established to realise a population-level approach to the prevention of the major nutrition-related health problems world-wide. The scope is broad and integrates activity from local, national, regional and international levels. The aim is to inform and develop coherent and effective policies that address the key rate-limiting steps critical to improving nutrition-related public health. This paper sets out the rationale for an evidence-based approach to Public Health Nutrition developed under the umbrella of the European Network for Public Health Nutrition.

Brain activity related to integrative processes in visual object recognition